Scribd
Upload
19 views15 pages

Cost Analysis of HWCs in Gujarat

The document presents a cost analysis of Health and Wellness Centers (HWCs) in Gujarat under the Ayushman Bharat initiative, focusing on total and incremental costs. It outlines objectives including a literature review, cost estimation for various HWC types, and the implications of conversion costs. The study indicates increased total costs and OPD footfalls post-conversion, with significant differences in costs across different types of HWCs.

Uploaded by

bikash788.bp
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
19 views15 pages

Cost Analysis of HWCs in Gujarat

The document presents a cost analysis of Health and Wellness Centers (HWCs) in Gujarat under the Ayushman Bharat initiative, focusing on total and incremental costs. It outlines objectives including a literature review, cost estimation for various HWC types, and the implications of conversion costs. The study indicates increased total costs and OPD footfalls post-conversion, with significant differences in costs across different types of HWCs.

Uploaded by

bikash788.bp
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

COST ANALYSIS

GROUP –9
❖ BHAVYA GANDHI MPH20017
❖ ANU SUSAN MATHEW MPH20040
❖ HANGSHAMITA SAHA MPH20063
❖ VARNA VP MPH20085
STUDY IN BRIEF

Understanding the
Costing exercise under
Setting up of HWCs total and incremental
AYUSHMAN BHARAT
cost of HWCs.
WHY GUJARAT?
PARTNER
FRONT RUNNER UPGRADATION ORGANIZATION

1 3 5

2 4

BETTER HEALTH HIGHER


OUTOMES NUMBER OF
HWCs
5

OBJECTIVES
1. Literature review of functional models of primary care globally with a
focus on costs.
2. Analyze the different HWC types functioning in the state of Gujarat based
on a sample of HWC
3. Estimate the total and per-unit costs for each type of HWC, using a
suitable indicator for measuring output, and analyze the differences across
types of HWC, for pre-conversion and post-conversion costs .
4. Estimate the incremental unit costs – the difference between the pre- and
post-conversion unit costs to understand the cost implications of the
conversion.
5. Based on the results, indicate an estimate of total costs of scaling up
HWCs in the state of Gujarat
6

STUDY SITE AND SAMPLE SELECTION

DISTRICT GANDHINAGAR RAJKOT

TYPE SC PHC UPHC CUPHC SC PHC UPHC CUPHC

NAME BALVA SOJA KALOL SECTOR 2 DALIYA MOVIYA GONDAL NANA


MAUVA

CONVERSION MARCH NOV NOV AUG 18 MARCH AUG 18 NOV 18 NOV 18


( MONTH – 19 18 18 19
YEAR)
7

METHODOLOGY

APPROACH TO COSTING

⊸ TOP DOWN ⊸ BOTTOM UP

⮚ LINE ITEM BUDGETING COST IS USED FOR COST ESTIMATION


OF RESOURCE ALLOCATION.
⮚ ECONOMIC COSTING VS FINANCIAL COSTING?
⮚ INCLUSION OF COSTS OF RESOURCES WHICH COME FROM
OUTSIDE THE PROGRAMME
8

METHODOLOGY
❑ COMPARISON OF PRE CONVERSION AND POST
CONVERSION COST DATA OF HWC

❑ COST ESTIMATION 🡪 RECURRENT COSTS

❑ INDICATOR USED🡪 TOTAL OPD VISITS FROM THE HMIS AS


THE DENOMINATOR TO TOTAL COSTS ( UNIT COST DATA)
UNIT COST = Total cost
OPD Footfalls

❑ THE INCREMENTAL UNIT COSTS WERE ESTIMATED AS


THE DIFFERENCE BETWEEN THE UNIT COSTS POST-
CONVERSION AND PRE-CONVERSION

❑ INCREMENTAL UNIT COSTS OF CONVERSION=


(TCPOST/OPDPOST) – (TCPRE/OPDPRE)
9

HUMAN
RESOURCES

MISCELLANEOUS DRUGS

COMPONENT OF TOTAL COST

Training
VACCINES
OUTREACH

INFRASTRUCTURE
10
11

FACTORS AFFECTING TOTAL


COST

ADDITION OF HR AND
CATCHMENT POPULATION OPD VISITS
SERVICES
13
COMPARISON OF TOTAL COST PRE AND POST COMPARISON OF TC PER CATCHMENT POPULTION & PER OPD
CONVERSION FOOTFALLS PRE AND POST COVERSION
14
FINANCIAL IMPLICATION

• Incremental cost – Additional budgetary


requirement
• Gujarat revised estimate of health budget (2020-
• State will have to spend more on total costs of Rural
HWCS and less in Urban HWC . 2021)-11,264 crore
• Total Expenditure = 7.9%
• Incremental expenditure-1%
15

SUMMARY

⊸ ECONOMICAL INITIATIVE

⊸ INCREASED TOTAL COST , OPD FOOTFALLS AFTER


CONVERSION

⊸ PHCs – MOST EXPENSIVE ,SUBCENTRES – LEAST


EXPENSIVE

⊸ SUPPLY SIDE COSTING EXERCISE

⊸ SERVICES LIKE MENTAL HEALTH , DENTAL ,ENT TO BE


FUNCTIONAL

⊸ DIFFERENT COST ESTIMATES IN DIFFERENT REGIONS


16

THANK YOU

You might also like