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. 2013 Feb 13;91(4):244–253B. doi: 10.2471/BLT.12.109660

Table 2. Average annual expenditure on the community health worker (CHW) programme (with 1 CHW for every 650 rural inhabitants) .

Country No. of CHWs in 2015 Average annual expenditure in 2012–2015 (millions of US$)
Average annual expenditure after 2015
Supplies Training Salaries Management Overhead Total Per population served Total Per rural population Per total population
Angola 15 209 18.75 0.61 9.13 3.04 4.72 36.24 6.97 48.90 5.88 2.25
Benin 9 714 11.61 0.39 5.83 1.94 2.96 22.73 6.85 30.62 5.77 2.87
Botswana 1 401 1.54 0.06 0.84 0.28 0.41 3.12 6.53 4.17 5.44 1.97
Burkina Faso 23 623 28.95 0.95 14.17 4.72 7.31 56.10 6.95 75.63 5.86 3.97
Burundi 15 611 17.98 0.63 9.37 3.12 4.65 35.75 6.70 48.11 5.64 5.09
Cameroon 20 536 24.89 0.82 12.32 4.11 6.31 48.45 6.90 65.41 5.83 2.94
Cape Verde 3 25 0.27 0.01 0.20 0.07 0.08 0.63 5.66 0.83 4.64 1.49
Central African Republic 5 324 6.38 0.21 3.19 1.06 1.62 12.47 6.86 16.82 5.78 3.40
Chad 19 255 23.53 0.77 11.55 3.85 5.94 45.65 6.94 61.44 5.84 4.67
Comoros 1 104 0.96 0.04 0.66 0.22 0.28 2.17 5.76 2.83 4.69 3.68
Congo 2 875 3.28 0.12 1.73 0.58 0.85 6.55 6.67 8.79 5.59 2.07
Congo, Democratic Republic 89 555 111.25 3.59 53.73 17.91 27.92 214.40 7.01 289.55 5.91 3.73
Djibouti 658 0.68 0.03 0.40 0.13 0.18 1.42 6.30 1.90 5.29 1.99
Equatorial Guinea 887 1.01 0.04 0.53 0.18 0.26 2.02 6.66 2.70 5.58 3.45
Eritrea 8 721 9.75 0.35 5.23 1.74 2.56 19.63 6.59 26.34 5.52 4.37
Ethiopia 139 837 157.66 5.60 83.90 27.97 41.19 316.32 6.62 425.57 5.57 4.40
Gabon 370 0.43 0.01 0.22 0.07 0.11 0.86 6.78 1.16 5.73 0.70
Gambia 1 481 1.80 0.06 0.89 0.30 0.46 3.50 6.91 4.72 5.83 2.38
Ghana 22 925 26.88 0.92 13.76 4.59 6.91 53.04 6.77 71.63 5.72 2.65
Guinea 12 719 15.40 0.51 7.63 2.54 3.91 29.99 6.90 40.48 5.82 3.41
Guinea-Bissau 1 404 1.68 0.06 0.84 0.28 0.43 3.29 6.86 4.44 5.78 2.39
Ivory Coast 18 172 21.80 0.73 10.90 3.63 5.55 42.61 6.86 57.52 5.79 2.37
Kenya 62 048 74.85 2.48 37.23 12.41 19.01 145.98 6.89 196.52 5.79 4.22
Lesotho 2 912 2.62 0.12 1.75 0.58 0.76 5.83 5.86 7.56 4.75 3.46
Liberia 5 851 7.11 0.23 3.51 1.17 1.80 13.82 6.91 18.74 5.86 4.00
Madagascar 28 412 34.42 1.14 17.05 5.68 8.73 67.01 6.90 90.74 5.84 3.95
Malawi 27 243 33.49 1.09 16.35 5.45 8.44 64.81 6.96 86.80 5.83 4.80
Mali 20 364 24.53 0.82 12.22 4.07 6.23 47.86 6.88 64.31 5.78 4.28
Mauritania 4 160 4.86 0.17 2.50 0.83 1.25 9.60 6.76 12.96 5.70 3.47
Mauritius 1 418 1.13 0.06 0.85 0.28 0.35 2.67 5.52 3.51 4.53 2.59
Mozambique 34 966 45.75 1.40 20.98 6.99 11.25 86.37 7.23 117.03 6.12 4.49
Namibia 2 730 3.26 0.11 1.64 0.55 0.83 6.38 6.84 8.62 5.77 3.55
Niger 27 399 34.03 1.10 16.44 5.48 8.54 65.59 7.01 88.40 5.90 4.61
Nigeria 158 659 191.05 6.35 95.20 31.73 48.56 372.89 6.88 501.91 5.79 2.84
Rwanda 17 900 20.62 0.72 10.74 3.58 5.34 40.99 6.70 54.93 5.61 4.66
São Tome and Principe 1 13 0.12 0.00 0.07 0.02 0.03 0.25 6.54 0.34 5.49 1.87
Senegal 14 833 17.81 0.59 8.90 2.97 4.53 34.80 6.87 47.01 5.80 3.23
Sierra Leone 7 217 8.86 0.29 4.33 1.44 2.23 17.16 6.96 23.20 5.88 3.54
Somalia 11 556 13.35 0.46 6.93 2.31 3.45 26.51 6.71 35.52 5.62 3.30
South Africa 35 191 40.13 1.41 21.11 7.04 10.43 80.13 6.66 107.87 5.61 2.07
South Sudan 15 090 17.72 0.60 9.05 3.02 4.55 34.95 6.78 47.17 5.72 4.31
Sudan 33 900 39.51 1.36 20.34 6.78 10.18 78.17 6.75 105.40 5.69 2.85
Swaziland 1 635 2.03 0.07 0.98 0.33 0.51 3.91 7.00 5.25 5.88 4.06
Togo 7 963 9.63 0.32 4.78 1.59 2.44 18.77 6.90 25.43 5.84 3.33
Uganda 59 032 72.94 2.36 35.42 11.81 18.34 140.88 6.98 189.23 5.86 4.75
United Republic of Tanzania 67 826 82.16 2.72 40.70 13.57 20.83 159.96 6.90 215.05 5.80 4.11
Zambia 15 399 19.29 0.62 9.24 3.08 4.83 37.06 7.04 49.53 5.88 3.29
Zimbabwe 13 731 16.76 0.55 8.24 2.75 4.24 32.53 6.93 43.88 5.85 3.11
Total 1089334 1305 44 654 218 332 2552 3437
Cost per inhabitant served 3.51 0.12 1.76 0.59 0.89 6.86 5.63

US$, United States dollar.