Annex4: Explanation on data use for estimation of cost of interventions

The cost of Constructions The cost of construction of a new health centre including water and electricity and three staff houses, excluding furniture and medical equipment has been estimated as $200,000 source EHP Cost Model The construction of a new maternity unit has been estimated as being $87,250 excluding furniture, medical equipment, a new water supply, electricity supply, radio communication and staff housing - Source JICA Algorithm The construction of a new dispensary unit has been estimated as being $36,000 excluding furniture, medical equipment, a new water supply, electricity supply, radio communication and staff housing - Source JICA Algorithm The cost of constructing an OPD has been taken as being $36,000 - Source JICA Algorithm The cost of constructing a staff house has been taken as being $12,000 - Source JICA Algorithm The cost of constructing a mini-lab excluding furniture, medical equipment, water and electricity has been estimated at $31,000 source JICA Algorithm The cost of constructing a mini-lab excluding furniture, medical equipment, water and electricity has been estimated at $31,000 source JICA Algorithm The costs for a Community Hospital were taken as an approximation from the EHP cost model as shown in the table below, source - EHP cost model- Calcon ICEDIA report,

The cost of rehabilitation and utilities The water cost is for the fitting of a solar pump water reticulation pipework and a storage tank, it does not include for any hot water unit, sanitary fittings or septic tank - Source JICA algorithm The cost of repairing ESCOM electricity has been estimated at $2,000 - Source JICA algorithm, and for ESCOM new, including four staff houses as $15,500 Source Malawi Rural Services Programme The cost of repairing a telephone has been estimated at $850 (usually cut off for nonpayment of bills) - Source JICA algorithm The cost of constructing an incinerator has been estimated at $750 for all facilities excluding, rural, district and central hospitals and $9,000 for those facilities source - JICA Algorithm The cost of supplying a radio to a Health Post, Maternity, OPD, and a health Centre has been estimated at $3,900 (this includes a part cost for a repeater and also a solar panel) Source - JICA Algorithm The cost of constructing sanitary facilities has been estimated as $5,000 source, and includes for a septic tank and associated pipework - JICA Algorithm The cost of constructing waste pits/sharp pits etc has been estimated as $750 source JICA Algorithm

The cost of repairing a radio has been estimated as $850 source - JICA Algorithm The cost of supplying solar power for a clinic and health post is estimated as $2,200 - Basic lighting - Source Rural Infrastructure Programme The cost of supplying solar power for a Dispensary is estimated as $4,800 - Basic lighting, vaccine fridge module (excludes fridge), radio communication module (excludes radio)Source Rural Infrastructure Programme The cost of supplying solar power for a Health Centre, Rural Hospital is estimated as $7,750 - Basic lighting, Laboratory module (excludes equipment), vaccine fridge module (excludes fridge), radio communication module (excludes radio) three staff housing modules and a solar lantern- Source Rural Infrastructure Programme. Lighting assumes usage of ordinary fluorescent light. The cost of supplying solar power for a Maternity Unit is estimated as $4,950 - Basic lighting, vaccine fridge module (excludes fridge), radio communication module (excludes radio), solar lantern- Source Rural Infrastructure Programme The cost of rehabilitating staff houses has been estimated as $3,000 source - JICA Algorithm The cost of rehabilitating maternity units has been estimated as $36,000 source - JICA algorithm The cost of constructing a 40m2 ward has been estimated as $36,000 source - JICA Algorithm The cost of constructing a ward for a district hospital has been estimated as $50,000 source - JICA Algorithm The cost of rehabilitating physical buildings of District Headquarters Hospital is estimated at$100,000. This amount includes repair of sewage system, electric wiring, water pipe, sanitation facilities source JICA Algorithm