Cost Projections for the Complementary Package of Activities - basics

• For this study the staffing norms were developed from ranges shown in CPA Guidelinesand drug and supply costs were based on actual amounts provided to the hospitals.They may not reflect accurately the needs of the hospitals and they do not take intoaccount differences in patient mix. These figures should be reviewed by the MOH andan analysis and determination of standard clinical practices should also be carried out todevelop more accurate staffing norms and standard drug and clinical supply needs.• The figures used for staff remuneration were based on averages of actual payments atthe sample of hospitals. These figures should be reviewed and, if necessary, adjusted.• A more detailed analysis of the operating costs would also be advisable, since it ispossible that some aspects, such as maintenance, are underfunded and that this maynot have been fully taken into account by the hospital directors when they estimated theadditional funds needed.We also recommend that the HSP2 targets be translated into specific service delivery targets.This will assist the health centers and hospitals to set targets that will result in the achievementof HSP2 goals.iv