From trial intervention to scale-up: costs of an adolescent sexual health program in Mwanza, Tanzania.

Abstract:

OBJECTIVE:To estimate annual costs of a multifaceted adolescent sexual health intervention in Mwanza, Tanzania, by input (capital and recurrent), component (in-school, community activities, youth-friendly health services, condom distribution), and phase (development, startup, trial implementation, scale-up). STUDY DESIGN:Financial and economic providers' costs and intervention outputs were collected to estimate annual total and unit costs (1999-2001). The incremental financial budget projects funding requirements for scale-up within an integrated model. RESULTS:The 3-year economic costs of trial implementation were US dollars 879,032, of which approximately 70% were for the school-based component. Costs of initial development and startup were relatively substantial ( approximately 21% of total costs); however, annual costs per school child dropped from US dollars 16 in 1999 to US dollars 10 in 2001. The incremental scale-up cost is approximately 1/5 of ward trial implementation running costs. CONCLUSIONS:Annual costs can reduce by almost 40% as project implementation matures. When scaled up, only an additional US dollars 1.54 is needed per pupil per year to continue the intervention.

journal_name

Sex Transm Dis

authors

Terris-Prestholt F,Kumaranayake L,Obasi AI,Cleophas-Mazige B,Makokha M,Todd J,Ross DA,Hayes RJ

doi

10.1097/01.olq.0000200606.98181.42

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

S133-9

issue

10 Suppl

eissn

0148-5717

issn

1537-4521

journal_volume

33

pub_type

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