Table 2 Total annual implementation costs
From: Costs of the HEARTS hypertension program in primary care in Lampang province, Thailand
Usual-care approach | HEARTS program scenario | HEARTS– Sub-scenario | ||||
|---|---|---|---|---|---|---|
THB | USD | THB | USD | THB | USD | |
H: Healthy Lifestyles | 565,124 | 16,295 | 3,207,621 | 92,492 | 3,207,621 | 92,492 |
H1: Training costs | 0 | 0 | 2,709,839 | 78,138 | 2,709,839 | 78,138 |
H2: Brief counseling costs | 565,124 | 16,295 | 497,782 | 14,354 | 497,782 | 14,354 |
H2.1: Tobacco | 190,069 | 5,481 | 167,420 | 4,828 | 167,420 | 4,828 |
H2.2: Alcohol | 60,985 | 1,758 | 53,718 | 1,549 | 53,718 | 1,549 |
H2.3: Physical inactivity | 314,071 | 9,056 | 276,645 | 7,977 | 276,645 | 7,977 |
H3: Other program costs | 0 | 0 | 0 | 0 | 0 | 0 |
E: Evidence-based Treatment Protocols | 13,022,745 | 375,512 | 12,538,312 | 361,543 | 12,538,312 | 361,543 |
E1: Ask about patient history - provider time | 2,217,593 | 63,944 | 1,953,339 | 56,325 | 1,953,339 | 56,325 |
E2: Assess via physical exam and diagnostic tests - provider time | 1,847,714 | 53,279 | 1,627,535 | 46,930 | 1,627,535 | 46,930 |
E3: Return visits - Counsel and treat per protocol - provider time | 8,957,438 | 258,288 | 8,957,438 | 258,288 | 8,957,438 | 258,288 |
E4: Other program costs | 0 | 0 | 0 | 0 | 0 | 0 |
A: Access to Essential Medicines and Technologies | 80,630,079 | 2,324,973 | 80,303,178 | 2,315,547 | 81,395,662 | 2,347,049 |
A1: Hypertension medications | 26,798,593 | 772,739 | 26,501,410 | 764,170 | 27,494,577 | 792,808 |
A2: Diagnostic test | 45,300,007 | 1,306,229 | 45,300,007 | 1,306,229 | 45,300,007 | 1,306,229 |
A3: Diagnostic tech., machines & supplies | 1,201,472 | 34,645 | 1,201,472 | 34,645 | 1,201,472 | 34,645 |
A4: Supply chain (on-cost) | 7,330,007 | 211,361 | 7,300,289 | 210,504 | 7,399,606 | 213,368 |
R: Risk-based Management | 1,175,797 | 33,904 | 3,745,525 | 108,002 | 3,745,525 | 108,002 |
R1: Training costs | 0 | 0 | 2,709,839 | 78,138 | 2,709,839 | 78,138 |
R2: Estimate risk using risk charts | 1,175,797 | 33,904 | 1,035,686 | 29,864 | 1,035,686 | 29,864 |
R3: Other program costs | 0 | 0 | 0 | 0 | 0 | 0 |
T: Team-based care (Savings from training nurses and CHEs to do Doctors’ work) | 0 | 0 | (551,775) | (15,910) | (551,775) | (15,910) |
T1: Savings from training nurses | 0 | 0 | (551,775) | (15,910) | (551,775) | (15,910) |
T2: Savings from training CHWs | 0 | 0 | 0 | 0 | 0 | 0 |
S: Systems for monitoring | 0 | 0 | 5,000 | 144 | 5,000 | 144 |
S1: Human resources | 0 | 0 | 5,000 | 144 | 5,000 | 144 |
S2: Technology | 0 | 0 | 0 | 0 | 0 | 0 |
S3: Supplies | 0 | 0 | 0 | 0 | 0 | 0 |
S4: Training | 0 | 0 | 0 | 0 | 0 | 0 |
Total Program Cost (H + E + A + R + S) | 95,393,745 | 2,750,685 | 99,799,635 | 2,877,729 | 100,892,119 | 2,909,231 |