The National Health System Cost databases provided health policy makers and analysts information on the unit costs of health services. The database was developed by Department of Community Medicine & School of Public Health, Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh in collaboration with with HTAIn, Public Health Foundation of India (PHFI), Indian Institute of Technology (IIT) Madras and Tata Institute of Social Sciences (TISS) and with technical support from the International Decision Support Initiative (iDSI). Each round of cost data is measured using standardised measures and the site provides details on samples, data collection and analysis. The datasets include the following:
|Round 1 (2016) :-||Cost data from 167 public sector health facilities (SHC, PHC, CHC and district hospitals) in Haryana, Punjab, Himachal Pradesh, Odisha, Kerala and Tamil Nadu|
|Round 2 (2020) :-||Cost data from a national costing survey of 11 public tertiary, 30 district public and 40 private hospitals in 11 states.The states included are Jammu & Kashmir, New Delhi, Rajasthan, Gujarat, Maharashtra, Uttar Pradesh, Bihar, West Bengal, Odisha, Andhra Pradesh and Tami Nadu.|
The present document gives a detailed description of the methodology followed during cost data collection and its analysis. Consequently, the document has been broadly divided into 2 methodological sub-parts i.e., cost data collection and data analysis. The first section gives a detailed picture of each and every step followed in data collection starting from the type of data to be collected (on the type and quantity of capital and recurrent resources) and its potential sources, followed by in-depth explanation of time allocation interviews. Further, the subsequent section discusses about the analytical aspects of cost data, in terms of handling the shared costs, developing apportioning statistics, annualizing the capital expenditure, assessing the total cost of recurrent resources, calculating the unit costs, standardizing the unit costs at capacity utilization, etc.
Cost Data Collection Tools
The present document gives a detailed description and instructions for collecting health system cost data based on the data collection tool designed by School of Public Health, PGIMER, Chandigarh. The cost data collection tool is designed using an economic costing methodology and bottom up costing approach. A separate tool has been developed for each level of health facility starting from sub-centres and primary health centres (PHCs) to community health centres (CHCs) and district hospitals (DHs) that takes into consideration the design of health facility in terms of variation in type and quantity of service delivery and resources used.
Costing Data Collection Manual
The present document gives a detailed description and instructions for collecting health system cost data based on the data collection tool designed by School of Public Health, PGIMER, Chandigarh. The cost data collection tool is designed using an economic costing methodology and bottom up costing approach.
Price And Valuation Data
The present document gives information regarding price of equipment, drugs and consumables used at each level of health facility starting from sub-centers and primary health centers (PHCs) to community health centers (CHCs) and district hospitals (DHs). The data in the spreadsheets are collection of over 2000 prices of health care consumables, equipment’s and drugs that have been collected over a period of 7 years as part of an effort to obtain National cost data for the public sector facilities.