AIDS 2012 - Turning the Tide Together What Does it Cost to Raise an Orphan? A Comparison of OVC...
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AIDS 2012 - Turning the Tide Together What Does it Cost to Raise an Orphan? A Comparison of OVC Costs in Ethiopia and Botswana Daniel Telake, Constance
AIDS 2012 - Turning the Tide Together What Does it Cost to
Raise an Orphan? A Comparison of OVC Costs in Ethiopia and Botswana
Daniel Telake, Constance Formson, Steven Forsythe Health Policy
Initiate, Task Order 1
Slide 2
Why Cost OVC Programs? Budgeting for current and future needs
Resource allocation Understand what are the cost drivers
Cost-effectiveness analysis
Slide 3
Background: Comparison of Two Countries EthiopiaBotswana
Population82,950,0002,070,000 GDP per Capita$358$7,403 Adult
(15-49) HIV Prevalence1.5%25% Population per km723 Cost of 1 liter
of milk$0.85$1.63 Children orphaned by all causes5,450,000130,000
Orphans per capita6.6%6.3% Total Adult Literacy3084 2
Slide 4
Approach
Slide 5
Sites Costed 19 Sites Costed in Ethiopia 19 Sites Costed in
Botswana
Slide 6
Location of Costed OVC Sites
Slide 7
Costing Approach Economic Costing All resources were assigned a
value, including donated items Initial study not designed to assess
effectiveness of services
Slide 8
Costing Approach All Costs Disaggregated to one of seven OVC
Services Economic Strengthening/Income Generation Food &
Nutrition Shelter and Care/Clothing and Bedding Education Health
Care Psychosocial Support (PSS) Child Protection/Legal Support
Slide 9
Results
Slide 10
Cost per OVC Reached
Slide 11
Median Number of OVC Reached
Slide 12
Variation in Unit Cost by Scale
Slide 13
Percentage of Children Receiving Each Service
Slide 14
Unit Cost by Service
Slide 15
Distribution of Costs
Slide 16
Conclusions
Slide 17
The cost of the OVC program is substantially higher in Botswana
(US$946) than in Ethiopia (US$80). Despite the lower cost in
Ethiopia, the number of services provided per child is greater in
Ethiopia.
Slide 18
Conclusions (2) The higher cost in Botswana is in part due to
scale (Ethiopias OVC programs are, on average, 17 times larger than
those in Botswana). The cost components in Botswana and Ethiopia
are comparable, although Botswanas program is more labor-intensive
and Ethiopias programs have lower overhead costs. Some of the cost
differences are due to cost of living, geographic and demographic
differences.
Slide 19
Conclusions (3) The analysis cannot determine which program is
more cost-effective, but this cost analysis is the first step in
evaluating cost-effectiveness.