TABLE 2.

Results of Costing Analysis in Bangladesh and Tanzania

	Bangladesh		Tanzania
	PPIUD Initiative	National Scale-Up Model	PPIUD Initiative	National Scale-Up Model
Program design
Number of facilitiesa	6	36	6	28
Setup period, months	4	4	4	4
Implementation period, months	36	36	27	36
Number of PPIUDs inserted	8,031	26,507	7,448	43,928
Costing analysis
Estimated total cost	US$539,285	US$1,979,140	US$1,869,507	US$6,910,494
Estimated cost of direct PPIUD service provisionb	US$1.71	US$1.71	US$2.05	US$2.05
Cost per facility per year	US$27,986	US$17,373	US$130,697	US$79,223
Main cost driver	Facility staffc (58% total cost)	Facility staffc (53% total cost)	Training (76% total cost)	Training (80% total cost)
Estimated direct health care costs saved (Impact 2)	US$802,368	US$2,648,284	US$1,348,744	US$7,954,649
Estimated total costs after including estimated health care costs saved (Impact 2)	−US$263,083	−US$669,144	US$520,763	−US$1,044,156

Abbreviation: PPIUD, postpartum intrauterine device.

^aNote the facilities included in the national scale-up model include the facilities in the PPIUD initiative plus additional facilities at the equivalent level of the public health care system. For Tanzania, each hospital in the scale-up model is assumed to have 4–6 associated satellite facilities that are trained in postpartum family planning counseling and given IEC materials to distribute and that refer clients to the hospitals, as was done in the PPIUD initiative.

^bIncludes cost of initial insertion, follow-up visit, and eventual removal using weighted averages. Cost of counseling is included for Tanzania but not for Bangladesh (cost of counselors in Bangladesh is included in staff costs, not direct service costs). Government reimbursements paid in Bangladesh are not included here.

^cFacility staff in Bangladesh include counselors and honorariums in the PPIUD initiative. Counselors only are included in the national scale-up model.