Country | Zambia | Zimbabwe | Malawi | South Africa | ||
Distribution | ||||||
Primary | Secondary | Primary | Secondary | Secondary | ||
Capital costs | ||||||
Training | $3435 | $1118 | $807 | $83 | $5584 | $1049 |
Sensitisation | $653 | $119 | $211 | $22 | $583 | $740 |
Building and storage | $1441 | $2771 | $191 | $17 | $233 | $886 |
Equipment | $2225 | $1311 | $77 | $8 | $136 | $1827 |
Other start-up costs | – | – | – | – | – | $161 |
Recurrent costs | ||||||
Personnel | $11 685 | $6596 | $4216 | $398 | $8511 | $79 837 |
Supplies | $3472 | $167 | $714 | $74 | $891 | $9236 |
Test kits | $63 223 | $11 507 | $2672 | $275 | $8975 | $20 792 |
Transport | $1772 | $323 | $637 | $66 | $2352 | $244 |
Recurrent training | $4044 | $1600 | – | – | – | – |
Building operation and maintenance | $3023 | $1107 | $272 | $27 | $3009 | $7292 |
Waste management | $1052 | $169 | $30 | $19 | – | – |
mHealth | – | – | – | – | – | $2492 |
Other recurrent | $3929 | $756 | $681 | $70 | $105 | – |
Total | $99 954 | $27 544 | $10 508 | $1059 | $30 379 | $124 556 |
Total kits distributed | 23 416 | 4262 | 1137 | 117 | 3506 | 9282 |
Facilities/country* | 3 | 3 | 2 | 2 | 18 | 8 |
Average kits distributed/facility | 7805 | 1421 | 569 | 59 | 195 | 1060 |
Cost/kit | $4.27 | $6.46 | $9.24 | $9.05 | $8.66 | $13.42 |
Facility-level cost/kit (min–max) | $4.17–$35.64 | N/A | $4.67–$17.40 | $4.59–$132.00 |
*Primary and secondary distribution in Zambia and Zimbabwe was done in the same clinics; therefore, our analysis was conducted in a total of 31 clinics even though we have 36 observations.