In March 2011, an award was made to Management Sciences for Health (MSH) to develop and test an iCCM cost and financing tool based on research in Malawi, Rwanda, and Senegal. The TRAction-funded costing of iCCM research had the goal of developing and validating a simple tool for program planners and managers to rapidly assess the costs and financing of iCCM introduction and expansion in developing country settings with different levels of iCCM experience.
The aim of this project was to develop and test an iCCM costing and financing tool and accompanying user guide to help program planners and managers plan for and monitor iCCM programs. Specific objectives included:
To address the challenge, Management Sciences for Health (MSH) completed the following activities:
A cost modeling tool and user guide was tested and developed with the following functions:
Please note that testing indicated success of the tool in Senegal and Rwanda, but the sample size was too small in both countries for the data to be representative of the program as a whole. As a result, the modeling should be considered as illustrative only. Figures in the tool can be updated as needed, however, and the results can be useful to Ministries of Health and other partners.
Costing exercises must occur as part of policy-making to set realistic targets and plan for financial sustainability. Using the tool to develop a clear and feasible costing plan allows for a better understanding of the impact of utilization on indirect costs. Further, it allows the user to make cost-effective decisions based on a clear understanding of what constitutes an iCCM service, taking into account the related training and supervision costs, and changes in utilization.
The model and guidelines were published in English and French, and these along with country reports were disseminated through the TRAction website, CCM toolkits, CCM Central, and various presentations to global planners and managers of maternal and child health programs. TRAction and its partners used research findings to develop recommendations that will facilitate successful implementation and scale-up of iCCM programs. These were shared with numerous stakeholders through a variety of channels.