Cost Calculations
This database presents data from cost effectiveness analysis conducted as part of A360's first investment phase (2016-2020). The methodology for collecting this data and indicator definitions is included below.
We collected costing data to facilitate a cost analysis that used a blended top-down and bottom-up approach. Costing data included financial costs incurred during A360’s implementation and excluded end-user or societal level costs. Financial data from PSI and its A360 consortium partners’ financial systems was pulled into an Excel database to calculate direct implementation costs. The project’s external cost-effectiveness evaluation partner (independently engaged by the A360 donors) supported in extracting site level costing data from government financial systems through facility surveys. This was employed to calculate government in-kind implementation cost. These surveys were conducted through interviews with staff in selected health facilities by trained data collectors using an excel-based costing tool. The tool captured costs which were unavailable data from PSI and its A360 consortium partners’ financial systems, including facility size and cost for use of utilities, office and medical equipment, and government staff time. Surveys were also conducted among the project personnel to determine how project costs were allocated between the different phases of the project and between the major cost drivers.
To generate routine cost-efficiency metrics, each of A360’s interventions was assigned a ‘total implementation cost’ which consisted of all direct and indirect costs incurred by PSI or a consortium partner at a country level. Global top-down costs, including personnel costs for the project’s global staff and consortium partners and the associated indirect costs, were allocated to each country intervention’s total implementation cost using the approximate time spent supporting each country intervention. Cost per adopter was calculated on a quarterly basis using a cumulative approach. The total to date implementation cost was summed with the cost allocation from the project’s global costs and divided by the total to date number of adopters reached for the same period. For A360’s two interventions in Nigeria, MMA and 9ja Girls, costs were split across proportionally based on the number of sites where A360 was currently implementing each intervention.
