Table 3.
Service unit costs of interventions on sanitation and hospital hygiene
| Intervention | Service unit | Facility | Capital cost* (95% CI) | Recurrent cost† (95% CI) | ||
| Thousand INR | Thousand US$ | Thousand INR | Thousand US$ | |||
| Sanitation | Flush toilet | Urban | 43 (35 to 50) | 0.63 (0.52 to 0.73) | 17 (13 to 20) | 0.25 (0.20 to 0.30) |
| Rural | 21 (8 to 34) | 0.30 (0.11 to 0.49) | 13 (7 to 19) | 0.19 (0.10 to 0.28) | ||
| Hand hygiene | Handwashing station | Urban | 30 (26 to 33) | 0.43 (0.38 to 0.49) | 4 (4 to 5) | 0.07 (0.06 to 0.07) |
| Rural | 27 (19 to 35) | 0.39 (0.27 to 0.51) | 9 (6 to 11) | 0.13 (0.09 to 0.16) | ||
| Linen reprocessing | In-house laundry machines | PHC | 217 (140 to 295) | 3.18 (2.05 to 4.31) | 231 (83 to 379) | 3.38 (1.21 to 5.54) |
| CHC | 303 (224 to 383) | 4.44 (3.27 to 5.60) | 628 (357 to 898) | 9.18 (5.22 to 13.14) | ||
| DH | 1351 (946 to 1756) | 19.76 (13.83 to 25.68) | 3506 (2135 to 4877) | 51.26 (31.21 to 71.31) | ||
| MC | 2604 (2337 to 2870) | 38.07 (34.18 to 41.97) | 3534 (2795 to 4272) | 51.67 (40.87 to 62.47) | ||
| Medical device reprocessing | Sterilisation equipment | PHC | 9 (6 to 12) | 0.13 (0.09 to 0.17) | 109 (35 to 184) | 1.60 (0.51 to 2.69) |
| CHC | 102 (65 to 138) | 1.49 (0.96 to 2.02) | 287 (122 to 453) | 4.20 (1.79 to 6.62) | ||
| DH | 800 (563 to 1037) | 11.70 (8.23 to 15.16) | 2692 (1130 to 4253) | 39.36 (16.53 to 62.19) | ||
| MC | 1606 (1297 to 1915) | 23.49 (18.97 to 28.00) | 1866 (1573 to 2160) | 27.29 (23.00 to 31.58) | ||
| Surface cleaning | Surface cleaning supplies | PHC | 0 | 0 | 70 (10 to 129) | 1.02 (0.15 to 1.89) |
| CHC | 0 | 0 | 313 (233 to 393) | 4.58 (3.41 to 5.75) | ||
| DH | 0 | 0 | 1569 (1295 to 1842) | 22.94 (18.93 to 26.94) | ||
| MC | 0 | 0 | 6369 (4650 to 8088) | 93.13 (67.99 to 118.27) | ||
*Capital costs, shown in 2018 prices, include the costs of equipment (toilet, sink, soap dispensers, washer/dryer/tumbler, autoclave/ethylene oxide steriliser) and installation.
†Recurrent costs, shown in 2018 prices, include the material costs of consumables (eg, soap, detergent, disinfectants), maintenance (eg, laundry and cleaning staff) and utilities.
CHC, community health centre; DH, district hospital; INR, Indian rupee; MC, medical college; PHC, primary health centre.