This cost study of the EPHS in the three zones of Somalia provides an important step in establishing the fundamental building blocks for further economic and VfM analysis of EPHS implementation and impact. The report explores the following economic questions:
- What are the actual total and unit costs of EPHS implementation in the
regions where HCS partners are implementing the EPHS?
- What are the primary cost components of EPHS implementation,
including, but not limited to, infrastructure and equipment, human
resources, training and capacity building, drugs and medicines, and
- What are the main cost drivers in the implementation of the EPHS due
to remoteness (urban/rural), security, or level/type of care?
- How would the costs of the EPHS vary based on changes to either the
scope or scale of EPHS implementation? What are the normative costs of
EPHS implementation under various scenarios?
- How can the HCS improve value for money (VfM)/investment in the EPHS
in Somalia, including improved application of the costing model?
The resulting recommendations are as follows:
- Resource and financial planning for EPHS scale-up for government and
development partners (normative costing)
- Capacity building of EPHS implementers - cost-efficiency and
normative costing scenarios
- Enhancing cost-effectiveness
- Expansion of costs included in the assessment, including indirect
costs in the Somalia and Nairobi levels
- Proposed study to examine variation in costs
- Proposed study to examine private sector health service provision
Blaakman, A. Assignment Report: Cost analysis of the essential package of health services (EPHS) in Somalia. Health and Education Advice and Resource Team (HEART), Oxford, UK (2014) 55 pp.