Table 3

Programme setting up cost, programme running cost and programme running cost per patient served across RFP models (in US$)

CategoryType of costCost descriptionModel 1
Community-managed RFP
Model 2
AMPATH-managed RFP
Model 3
Facility-managed RFP
Cost per RFPTotal costCost per RFPTotal costCost per RFPTotal cost
Setting up costs (one-time costs)RenovationIdentified rooms are renovated to meet specifications of a pharmacy200030 000200014 000n/an/a
Seed stockInitial drug stock plus miscellaneous pharmacy supplies (stationery, pill counters and so on)200030 000200014 0001005000
TravelMeetings with facility leadership, oversight of renovations, delivery of seed stock of drugs100150010070010500
Total programme setting up cost (one-time cost)410061 500410028 7001105500
Running costs (per year)PersonnelPharmaceutical technologist240036 000300021 00024012 000
SupervisionInventory management, supervision and mentorship of site staff72010 80072050401206000
TransportationTransportation of supplies, drugs, supervisory personnel90013 5009006300723600
WaiversFor indigent patients who are unable to afford medications36054003602520MinimalMinimal
Programme leadership and managementOverall strategy planning, oversight, audit, procurement and financial management144021 600192013 44024012 000
Total programme running cost (per year)582087 300690048 30067233 600
Quantity of medication units supplied (2018)1 252 773 units2 640 563 units1 900 645 units
Estimated number of patients receiving at least one medication unit per day for the entire year*3432 patients7234 patients5207 patients
Programme running cost per patient served (per year)†256.76.5
Programme average running cost per patient served (per year)10.6
  • *Estimated number of patients receiving at least one medication unit per day for the entire year=Quantity of medication units supplied in 2018÷365 days.

  • †Programme running cost per patient served=(Total running cost per model per year)÷(Estimated number of patients receiving at least one medication unit per day for the entire year).

  • AMPATH, The Academic Model Providing Access to Healthcare; RFP, revolving fund pharmacy.