Costing Module

[sakshimohan]

This PR adds a costing module to the TLO model.

The current costing method is as follows -

[sakshimohan]

Questions:

1. Interpretation of Frac_Time_Used_By_OfficerType in the healthsystem logger. I've currently assumed that the values give the total number of staff used in the simulation.
2. Is it correct to ignore the squeeze factor because the actual capability used is costed? The same costing formula should work for modes 1 and 2.
3. How is Frac_Time_Used_By_OfficerType recorded when capabilities_coefficient > 1 --> should costs use capabilities_today?
4. The costing is currently disaggregated by Facility_Level and Officer_Type. For the calculation of intervention ICERs, we will need to calculate cost by Treatment_ID. Does the healthsystem logger capture health worker time by Treatment_ID?

[sakshimohan]

Draft figures for HR salary cost by cadre and level =-

[sakshimohan]

I have now created two categories of costs - 1. Financial Cost and 2. Economic Cost. Here is how I envison HR costs will look under the two categories -

Currently the financial cost of HR does not match well with the 2018 salary budget -

[sakshimohan]

The cost of Oxygen has been changed back from the following to what's in the OHT which is a tenth of this price

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0.005445	Lin et al (2024) - This is the price per litre assuming 8 pressure swin absorption (PSA) plans as of 2023 in Malawi - "Existing PSA" scenario. This cost includes the total cost of production, shipping cylinders, HR, maintenance and operations at production plants (PSA, Trucks, Cylinders, Concentrators, Pulse oximeters, Ventilators, Monitors, Resuscitation, Suction)

[sakshimohan]

Current status of calibration (Areas that need addressing in //bold//)

Cost category	Calibration category	Actual Expenditure (RM) 2018	Maximum (Annual Projected Budget 2020-2022)	TLO Cost Estimate ($)	Expenditure as per RM minus TLO Cost estimate
Facility operating costs	Facility utility bills	12,142,707.98	31,595,108.55	25,731,776.58
Facility operating costs	Infrastructure - Rehabilitation	4,117,616.05	11,684,723.49	5,570,953.60
Facility operating costs	Vehicles - Fuel and Maintenance	24,393,757.96	32,411,573.39	18,710,184.48
Human resources for health	Health Worker Salaries	114,418,952.79	133,228,884.25	107,230,088.91
Human resources for health	Health Worker Training - In-Service	12,897,136.55	17,743,710.12	12,086,818.36
Human resources for health	Health Worker Training - Pre-Service	1,277,697.67	2,665,199.15	2,852,164.56
Human resources for health	Mentorships & Supportive Supervision	55,553,332.80	66,652,165.02	52,062,955.21
Medical consumables	//Antimalarials//	681,848.59	8,094,056.65	25,609.00	656,239.59
Medical consumables	Antiretrovirals	53,796,360.12	77,506,903.49	53,787,113.67
Medical consumables	//Bednets//	3,552,600.00	28,061,308.64	463,707.63	3,088,892.37
Medical consumables	//Cervical Cancer//	534,872.32	1,581,977.74	101,750.65	433,121.67
Medical consumables	Condoms and Lubricants	210,313.84	11,211,211.72	423,034.86
Medical consumables	//HIV Screening/Diagnostic Tests//	34,469,044.13	94,345,358.80	21,024,664.01	13,444,380.12
Medical consumables	//Indoor Residual Spray//	7,272,001.18	13,194,497.82
Medical consumables	//Malaria RDTs//	1,719,000.00	5,643,435.92	538,367.86	1,180,632.14
Medical consumables	//Other Drugs, medical supplies, and commodities//	39,437,013.14	80,801,692.06	32,532,025.40
Medical consumables	//Other family planning commodities//	12,323,143.36	21,052,691.19	1,981,220.53	10,341,922.83
Medical consumables	Supply Chain	21,341,274.59	37,668,917.17	9,696,423.30
Medical consumables	//TB Tests (including RDTs) //	599,011.62	6,695,563.77	53,719.77	545,291.85
Medical consumables	//TB Treatment//	2,338,536.34	4,685,956.00	1,664,427.22	674,109.12
Medical consumables	//Undernutrition commodities//	913,214.58	1,721,063.60	23,268.04	889,946.54
Medical consumables	Vaccines	4,200,418.52	13,209,399.57	9,319,174.55
Medical consumables	//Voluntary Male Medical Circumcision//	2,891,681.00	1,832,645.01	94,754.61	2,796,926.39
Medical equipment	//Medical Equipment - Maintenance//	2,294,331.38	16,468,941.94	712,772.18
Medical equipment	//Medical Equipment - Purchase//	3,754,149.89	19,024,579.29	525,327.86

[sakshimohan]

Pending changes:

1. iptp in care_for_women_during_pregnancy uses 'Sulfamethoxazole + trimethropin, tablet 400 mg + 80 mg'. Should be changed to 'Fansidar (sulphadoxine / pyrimethamine tab)'
2. Undernutrition commodities to be added - 'SAM theraputic foods'), 'SAM medicines'), 'Therapeutic spread, sachet 92g/CAR-150', 'F-100 therapeutic diet, sach., 114g/CAR-90'.
3. Xpert is currently never available. Is it being called at the right level? Only available at levels 2 and 3.