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Costs of the Supervision, Performance Assessment and Recognition Strategy (SPARS) for improving medicines management
Anika Ruisch1, Ganesh Khatiwada2, Anup Bastola3
1Health Economics & Health Technology Assessment, Management Sciences for Health, Arlington, USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Arlington, VA, USA.
Background:
Nepal implemented a pilot of the Supervision, Performance Assessment, and Recognition Strategy (SPARS) program aimed to increase health workers' ability to manage medicines through on- the-job training and support from a new cadre of Medicines Management Supervisors (MMS). This study aims to assess the implementation costs.
Methods:
Data from the SPARS central database and facilities was analysed to assess the total cost of the SPARS pilot including 293 public health facilities from 12 districts of 3 provinces, from May 2022 until July 2023. We estimated the number of health facilities to achieve a successful performance status, defined as a SPARS score ≥ 18.75 out of 25 (75%) and estimated the cost per facility to reach a successful score.
Results:
In total, 293 facilities received 838 visits, performed by 48 MMS for an estimated total cost of $226,531. 124 facilities (44.3%) reached a score of 18.75 points after two or more visits. On average, it costs $1827 USD per facility to reach a successful SPARS score.
Conclusion:
This study assesses the costs of implementing SPARS in 12 districts in Nepal. These findings can provide insights into further scaling up SPARS in Nepal or in other countries.
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