Cost and Effective Analysis of the LINKAGES ... - Linkages Project

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5.3. Data LimitationsThere were instances of incomplete data – in these cases estimates were made to complete the study.When data on actual MOH staff time spent by activity were not available, assumptions were madebased on the specific scope of work for each MOH staff member to allocate time to a specific activity.Unspecified time was allocated pro-rata across all activities based on the direct cost of the activity.Much of the data on MOH staff costs are based on recall of activities implemented, estimates of stafftime commitments, and estimates of activity costs from the study period. Although MOH/MCHprovided written estimates of costs, no historical documents (expense reports, budgets, etc.) wereavailable to verify the cost estimates.16 5. Data Collection LINKAGES Project/AED
6. FindingsThe findings presented are organized to reflect each of the study questions:• How do costs and outcomes compare across the three regions?• What are the determinants of costs and cost effectiveness?• How can LINKAGES improve its cost effectiveness?• What would it cost to replicate these activities and is it cost effective?Selected information is shown in the sections below to address the questions of interest. Annex Bincludes detailed cost data for LINKAGES and its partners.6.1. How Do Costs and Outcomes Compare Across the ThreeStudy Regions?Overall Finding: There appears to be no relationship between costs and LAMbehavior change outcomes. Cost per beneficiary was the lowest and LAM behaviorchange outcome the highest in the North region. The reverse pattern exists in theSouth with the highest cost per beneficiary and the lowest LAM behavior changeoutcome.To answer the question of how costs and outcomes compare across regions, all costs for LINKAGESJordan and DC-based activities and partner activities to promote LAM are included.6.1.1. LINKAGES and Partner CostsTable 3 shows the LINKAGES incurred costs for the three regions allocated by LAM User Rate.Total LINKAGES’ costs to promote the LAM behavior change indicator were $37,078 in the Center,$28,247 in the North, and $17,302 in the South. On a per beneficiary basis (defined as the number ofantenatal and postpartum women served by MCH clinics during the study period), the cost was $1.85in the Center, $1.60 in the North, and $2.86 in the South.Table 3: LINKAGES’ Costs Allocated by IndicatorNorth Center SouthNumber of 17,693 20,065 6,042BeneficiariesIndicator Total Cost Cost perBeneficiaryTotal Cost Cost perBeneficiaryTotal Cost Cost perBeneficiaryLAM UserRate$28,247 $1.60 $37,078 $1.85 $17,302 $2.86Table 4 shows that the total cost of LINKAGES’ infant feeding and LAM activities across the threestudy regions was $247,284. Of all activities, it is estimated that 67% of the total cost was spent onimproving breastfeeding behavior, and 33% was spent on LAM. Based on these percentages, thetotal cost of activities is $82,627 to support LAM and $164,657 to support EBF.Linkages Project/AED 6. Findings 17
Page 1 and 2: Cost and Effective Analysisof the L
Page 5 and 6: AbstractThis study analyzes cost ef
Page 7 and 8: ContentsExecutive Summary .........
Page 9 and 10: Executive SummaryIntroductionThe La
Page 11 and 12: activities conducted in support of
Page 13 and 14: activities will allow spreading tho
Page 15 and 16: 1. Background to the StudyIn an eff
Page 17 and 18: 3. Description of LINKAGES and Part
Page 19: of MCH services are mostly women of
Page 22 and 23: the administrative and overhead str
Page 24 and 25: activities were implemented. This i
Page 26 and 27: 4.7. Comparability and Applicabilit
Page 29: 5. Financial Data Collection5.1. LI
Page 33 and 34: Table 6: Relationship Between Costs
Page 35 and 36: 6.2.3. Cost Effectiveness and Targe
Page 37 and 38: Table 11 shows the classification o
Page 39 and 40: some portion of the costs are fixed
Page 41 and 42: 7. Discussion and Conclusions7.1. R
Page 43 and 44: Annex A: List of All LINKAGES Activ
Page 45 and 46: LINKAGES' LAM Activity Costs by Ele
Page 47 and 48: Detailed MOH/MCH' LAM Activity Cost
Page 49 and 50: Percentage of Each Activity Allocat
Page 51 and 52: III. LAM Indicator Data by RegionLA
Page 53 and 54: LAM User Rate Calculations - CENTER
Page 55 and 56: 36. Al-Muwaqar37. Al-Faisaliya (Eas
Page 57 and 58: 118. Southern Al-Twa’l (Al-Dayat)
Page 59 and 60: 196. Jiffien197. Izma’lBani Kinan
Page 61 and 62: Kayak Health Directorate276. Al-Rab
Page 63: LINKAGES Project/AEDAnnex B: Detail

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