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Assessing costs of a hypertension management program: An application of the HEARTS costing tool in a program planning
Muhammad Jami Husain1, Benjamin T Allaire2, Brian Hutchinson3
1Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Insights
A new costing tool aids planning for the HEARTS technical package, a cardiovascular disease prevention program. It helps estimate implementation costs and informs scalability for wider public health impact.
Area of Science:
- Public Health
- Health Economics
- Cardiovascular Disease Prevention
Background:
- The HEARTS technical package aims to improve global cardiovascular health through primary care.
- Evaluating the costs of implementing HEARTS program components is crucial for resource allocation and scalability.
Purpose of the Study:
- To document the application of a newly developed costing tool for the HEARTS program.
- To assess the tool's utility in estimating implementation costs and identifying cost drivers prior to a pilot program.
Main Methods:
- A costing tool was applied in a workshop setting before a HEARTS pilot program in Thailand.
- A mock exercise was conducted to estimate expected costs, identifying cost drivers and categorizing them as fixed or variable.
Main Results:
- The workshop application demonstrated the tool's applicability in HEARTS program planning.
- The tool successfully identified key cost drivers for individual program elements.
- Disaggregation of costs into fixed and variable categories highlighted the tool's potential for informing scalability.
Conclusions:
- The HEARTS costing tool is a valuable resource for program planning and cost evaluation.
- Understanding cost drivers and scalability is essential for successful implementation and expansion of cardiovascular health initiatives.
- Lessons learned from this application will inform future cost evaluation efforts for the HEARTS program.
Abstract:
The HEARTS technical package, a part of the Global Hearts Initiative to improve cardiovascular health globally, is a strategic approach for cardiovascular disease prevention and control at the primary care level. To support the evaluation of costs associated with HEARTS program components, a costing tool was developed to evaluate the incremental cost of program implementation. This report documents an application of the HEARTS costing tool during a costing workshop prior to the initiation of a HEARTS pilot program in Thailand's Phothong District, 2019-2020. During the workshop, a mock exercise was conducted to estimate the expected costs of the pilot study. The workshop application of the tool underscored its applicability to the HEARTS program planning process by identifying cost drivers associated with individual program elements. It further illustrated that by supporting disaggregation of costs into fixed and variable categories, the tool can inform the scalability of pilot projects to larger populations. Lessons learned during the initial development and application of the costing tool can inform future HEARTS evaluation efforts.
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