08. Costing Essential Services Package An Issue Paper

08. Costing Essential Services Package An Issue Paper 08. Costing Essential Services Package An Issue Paper

05.12.2012 Views

PPH Postpartum Hemorrhage PRNP Policy-Regulation-NGO-Private Sector PRU Policy Research Unit RG Review Group RHC Reproductive Health Care RIBEC Reforms in Budgeting and Expenditure Control RPA Reimbursable Project Aid RSD Reorganization of Service Delivery RTI Reproductive Track Infection SBP Safe birth practices SM Safe Mother-hood STD Sexually Transmitted Disease SWM Sector Wide Management TA Technical Assistance TEESP Total Expenditure for Essential Services Package TF Task Force THC Thana Health Complex UA Unsafe Abortion UHFWC Union Health & Family Welfare Centre WDR World Development Report

Abbreviations CONTENTS 1. Background 1 2. Objectives 2 3. Methodology 3 4. Methodological Introduction on Costing Essential Services Package (ESP): What to Cost, How to Cost, and Cost Components 4 5. Costing Essential Services Package and Components thereof: Review of Experiences 11 5.1. Costing ESP: PPC’s exercise 12 5.2. Costing ESP: HEU’s exercise 17 5.3. Costing of various dimensions and major areas of ESP: Survey-based studies 19 6. ESP Costing Review Isue: Outcome of One-to-one Discussions 22 7. Key Findings 25 References 26 LIST OF FIGURE Figure 1: Steps of Assignment 3 Figure 2: (Costing of) Health and Population Sector Program (HPSP): Components, major areas, sub areas, conditions 6 Figure 3: Program Levels of Costing 7 Figure 4: Procedural types of Costing 7 Figure 5: Methods of Costing 7 Figure 6: Type of Costing Classification 10 Figure 7: Broad Cost Components 10 Figure 8: PPC’s Cost Component Analysis 10 Figure 9: HPSP Costing (Year 1) 12 Figure 10: PPC ESP Costing (Year 1) 13 Figure 11: HEU’s Model of Costing of the Essential Package of Health Services (EPHS) 18

Abbreviations<br />

CONTENTS<br />

1. Background 1<br />

2. Objectives 2<br />

3. Methodology 3<br />

4. Methodological Introduction on <strong>Costing</strong> <strong>Essential</strong> <strong>Services</strong> <strong>Package</strong> (ESP):<br />

What to Cost, How to Cost, and Cost Components 4<br />

5. <strong>Costing</strong> <strong>Essential</strong> <strong>Services</strong> <strong>Package</strong> and Components thereof:<br />

Review of Experiences 11<br />

5.1. <strong>Costing</strong> ESP: PPC’s exercise 12<br />

5.2. <strong>Costing</strong> ESP: HEU’s exercise 17<br />

5.3. <strong>Costing</strong> of various dimensions and major areas of ESP:<br />

Survey-based studies 19<br />

6. ESP <strong>Costing</strong> Review Isue: Outcome of One-to-one Discussions 22<br />

7. Key Findings 25<br />

References 26<br />

LIST OF FIGURE<br />

Figure 1: Steps of Assignment 3<br />

Figure 2: (<strong>Costing</strong> of) Health and Population Sector Program (HPSP):<br />

Components, major areas, sub areas, conditions 6<br />

Figure 3: Program Levels of <strong>Costing</strong> 7<br />

Figure 4: Procedural types of <strong>Costing</strong> 7<br />

Figure 5: Methods of <strong>Costing</strong> 7<br />

Figure 6: Type of <strong>Costing</strong> Classification 10<br />

Figure 7: Broad Cost Components 10<br />

Figure 8: PPC’s Cost Component <strong>An</strong>alysis 10<br />

Figure 9: HPSP <strong>Costing</strong> (Year 1) 12<br />

Figure 10: PPC ESP <strong>Costing</strong> (Year 1) 13<br />

Figure 11: HEU’s Model of <strong>Costing</strong> of the <strong>Essential</strong> <strong>Package</strong> of Health<br />

<strong>Services</strong> (EPHS) 18

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