Category | Type of cost | Cost description | Model 1 Community-managed RFP | Model 2 AMPATH-managed RFP | Model 3 Facility-managed RFP | |||
Cost per RFP | Total cost | Cost per RFP | Total cost | Cost per RFP | Total cost | |||
Setting up costs (one-time costs) | Renovation | Identified rooms are renovated to meet specifications of a pharmacy | 2000 | 30 000 | 2000 | 14 000 | n/a | n/a |
Seed stock | Initial drug stock plus miscellaneous pharmacy supplies (stationery, pill counters and so on) | 2000 | 30 000 | 2000 | 14 000 | 100 | 5000 | |
Travel | Meetings with facility leadership, oversight of renovations, delivery of seed stock of drugs | 100 | 1500 | 100 | 700 | 10 | 500 | |
Total programme setting up cost (one-time cost) | 4100 | 61 500 | 4100 | 28 700 | 110 | 5500 | ||
Running costs (per year) | Personnel | Pharmaceutical technologist | 2400 | 36 000 | 3000 | 21 000 | 240 | 12 000 |
Supervision | Inventory management, supervision and mentorship of site staff | 720 | 10 800 | 720 | 5040 | 120 | 6000 | |
Transportation | Transportation of supplies, drugs, supervisory personnel | 900 | 13 500 | 900 | 6300 | 72 | 3600 | |
Waivers | For indigent patients who are unable to afford medications | 360 | 5400 | 360 | 2520 | Minimal | Minimal | |
Programme leadership and management | Overall strategy planning, oversight, audit, procurement and financial management | 1440 | 21 600 | 1920 | 13 440 | 240 | 12 000 | |
Total programme running cost (per year) | 5820 | 87 300 | 6900 | 48 300 | 672 | 33 600 | ||
Quantity of medication units supplied (2018) | 1 252 773 units | 2 640 563 units | 1 900 645 units | |||||
Estimated number of patients receiving at least one medication unit per day for the entire year* | 3432 patients | 7234 patients | 5207 patients | |||||
Programme running cost per patient served (per year)† | 25 | 6.7 | 6.5 | |||||
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.