251601 A six-step approach for evaluating the annual costs of NGO-implemented programs to support orphans and vulnerable children

Tuesday, November 1, 2011: 10:50 AM

Bruce Larson, MA, PhD , Center for Global Health and Development, Boston University, Boston, MA
Background: This paper developments a practical, six-step approach that NGOs can incorporate into routine operations to evaluate their costs of program implementation. The approach is applied to the Community-Based Care for Orphans and Vulnerable Children Program implemented by BIDII and Christian Aid in Eastern Province of Kenya for 2009.

Methodology/Principal Findings: For each step, a short summary and general explanation is provided along with the concrete application to the BIDII program. A set of practical recommendations are provided for incorporating this approach into routine practice by NGOs during program implementation. Based on the analysis in this report, direct financial cost was $21 per OVC per year (staff, local travel, and payments for OVC educational expenses). In addition, headquarters contributed resources not charged to the project, marshaled 14,000-15,000 days of volunteer time, and used equipment purchased in earlier years. The imputed value of these additional inputs was $22 per OVC, for a total annual cost of $43 per OVC. The cost profile for the project provides a detailed breakdown of these costs into primary input categories.

Conclusions/Significance: NGOs implementing OVC programs (and other public health programs) can organize themselves for data collection and documentation prospectively during the implementation of their OVC programs so that costing analyses become routine practice to inform program implementation rather than a painful and flawed retrospective activity. Such information is required if the costs and outcomes achieved by OVC programs will be clearly documented and compared across OVC programs and other types of programs (prevention, treatment).

Learning Areas:
Public health or related public policy
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe a methodology to determine the cost of OVC programming Describe the impact of Household Economic Strengthening activities in two Regions of Kenya

Keywords: Cost-Effectiveness, Vulnerable Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed and conducted this research
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.