A feasibility study using time-driven activity-based costing as a management tool for provider cost estimation: lessons from the national TB control program in Zimbabwe in 2018

Chirenda, J.; Nhlema Simwaka, B.; Sandy, C.; Bodnar, K.; Corbin, S.; Desai, P.; Mapako, T.; Shamu, S.; Timire, C.; Antonio, E.; Makone, A.; Birikorang, A.; Mapuranga, T.; Ngwenya, M.; Masunda, T.; Dube, M.; Wandwalo, E.; Morrison, L.; Kaplan, R.

doi:10.1186/s12913-021-06212-x

Table 5 Space and Equipment capacity cost rate, Zimbabwe TDABC, 2018

From: A feasibility study using time-driven activity-based costing as a management tool for provider cost estimation: lessons from the national TB control program in Zimbabwe in 2018

Facility	Type of Space	Activity happening in the identified Space	Actual Area Used (sqm)	CCR/ minute (USD)
Banket District Hospital	Waiting room	Registration, Vital Signs, Initial Consultation, Recording and reporting	364.5	0.048
	Consulting Room Nursing	Third Consultation sputum negative presumptive cases, Treatment Initiation for DSTB, Initial Consultation, Second Consultation with sputum results, Sputum sample collection for TB diagnosis, Medicines Collection, HIV Testing Services, Recording and Reporting, Treatment Follow up DSTB, Diabetes Mellitus Testing Services	27	0.004
	Consulting Room - Doctor	Second Consultation with Sputum results, Third Consultation for sputum negative presumptive cases, Treatment follow up DSTB	54	0.007
	Laboratory	Sample processing and registration of results, Chest X-Ray	90	0.012
	Pharmacy	Medicines Collection (Anti-TB and Ancillary)	90	0.012
Chinhoyi Provincial Hospital	Waiting room	Registration, Treatment Follow up DSTB	750	0.098
	Consultation Room	Second Consultation with Sputum results, treatment follow up DSTB	60	0.008
	Consulting Room Nursing	Initial Consultation, Second Consultation with Sputum results, Treatment Initiation DSTB, Treatment Follow up DSTB, Sputum Sample collection for TB diagnosis, Vital signs, HIV Testing Services, Diabetes Mellitus Testing Services,	60	0.008
	Consulting Room - Doctor	Third consultation for sputum negative presumptive cases	60	0.008
	Laboratory	Receiving and initial registration of sputum specimens, Treatment Follow up, Sample processing and registration of results	1108	0.145
	Pharmacy	Medicines Collection (Anti-TB and Ancillary)	800	0.105
Gwanda Provincial Hospital	Waiting room	Registration, Vital Signs	42.5	0.006
	Consultation Room	Initial Consultation		0.004
	Consulting Room Nursing	Initial Consultation, Second Consultation with Sputum results, Treatment Initiation DSTB, Treatment Follow up DSTB, Sputum Sample collection for TB diagnosis, HIV Testing Services, Recording and Reporting	31.5	0.004
	Consulting Room - Doctor	Third consultation for sputum negative presumptive cases, Treatment follow up DSTB	10	0.001
	Laboratory	Receiving and initial registration of sputum specimens, Sample processing and registration of results, sputum sample transportation	12.6	0.002
	Pharmacy	Medicines Collection (Anti-TB and Ancillary)	10.25	0.001
	X-ray Room	Chest X-ray
Maphisa District Hospital	Waiting room	Registration, Vital Signs, Initial Consultation, HIV Testing Services, Treatment follow up	364.5	0.048
	Consultation Room - Nurse	Initial Consultation, Second Consultation with Sputum Results, Sputum sample collection for TB Diagnosis, HIV Testing Services, Treatment follow up DS-TB, Recording and Reporting	27	0.004
	Consulting Room - Doctor	Initial Consultation, Treatment Initiation DS-TB, Recording and Reporting	54	0.007
	Laboratory	Receiving and initial registration of sputum specimens, Sample processing and registration of results, Sputum sample transportation, Recording and Reporting	90	0.012
	Pharmacy	Medicines Collection (Anti-TB and Ancillary)	90	0.012
Dzivarasekwa Clinic	Waiting room	Registration, Vital Signs, and Treatment follow up	342	0.045
	Consultation Room	HIV Testing Services, Diabetes Mellitus Testing Services, Treatment Follow up DS-TB, Recording and Reporting		0.002
	Consulting Room Nursing	Initial Consultation, Second Consultation with sputum results, Diabetes Mellitus Testing Services, Recording and Reporting	18	0.002
	Consulting Room - Doctor	Third Consultation for sputum negative presumptive cases	18	0.002
	Laboratory	Receiving and initial registration of sputum specimens, sample processing and registration of results, Sputum sample collection for TB diagnosis, Recording and Reporting	16	0.002
	Pharmacy	Medicines Collection (Anti-TB and Ancillary), Treatment follow up DS-TB	6	0.001
Mzilikazi Clinic	Waiting room	Registration, Vital Signs, HIV Testing Services, Treatment Follow up	16.8	0.004
	Consultation Room	HIV Testing Services, Treatment Follow up DS-TB, Second Consultation with sputum results, Recording and Reporting	16.8	0.004
	Consulting Room Nursing	Initial consultation, Sputum sample collection for TB diagnosis, Second Consultation with sputum results, Recording and Reporting, Medicines collection (Anti-TB and Ancillary)	29.2	0.004
	Consulting Room - Doctor	Third Consultation for sputum negative presumptive cases	15.2	0.002
	Laboratory	Thorngroove Laboratory	69	0.009
	Pharmacy	Medicines Collection (Anti-TB and Ancillary), Treatment follow up DS-TB	12	0.002
	X-ray Room	Khami Clinic
Princess Margaret Clinic	Waiting room	Registration, Vital Signs	41.2	0.005
	Consulting Room Nursing	Initial consultation, second consultation with sputum results, HIV testing services, Sputum sample collection for TB diagnosis, Treatment Initiation DS-TB, Treatment follow up DS-TB, Recording and Reporting, Medicines collection (Anti-TB and Ancillary)	104.2	0.014
	Consulting Room - Doctor	Third Consultation for sputum negative presumptive cases, Treatment follow up DS-TB	13.25	0.002
	Laboratory	Thorngroove Clinic, Recording and Reporting	69	0.009
	Pharmacy		12	0.002
	X-ray Room	Khami Clinic
Rutsanana Clinic	Waiting room	Registration, Vital Signs	106	0.014
	Consultation Room	HIV Testing Services, Treatment follow up DS-TB		0.002
	Consulting Room Nursing	Initial consultation, second consultation with sputum results, Treatment initiation DS-TB, Sputum sample collection for TB diagnosis, Treatment follow up DS-TB, Recording and reporting	12	0.002
	Consulting Room - Doctor	Sputum sample collection for TB diagnosis	12	0.002
	Laboratory	Receiving and initial registration of sputum specimens, sample processing and registration of results, Medicines collection (Anti-TB and Ancillary), Recording and Reporting	14	0.002
	Pharmacy	Medicines collection (Anti-TB and Ancillary)	12	0.002
Tas4TB	Waiting room	Registration, Vital Signs, Sputum sample collection for TB diagnosis, Treatment Initiation DS-TB, Medicines Collection (Anti-TB and Ancillary), Recording and Reporting	60	0.008
	Consultation Room	Initial Consultation, Diabetes Mellitus Testing Services, HIV Testing Services		0.004
	Consulting Room Nursing	Initial consultation, HIV Testing Services, Diabetes Mellitus Testing Services, Recording and Reporting, Treatment Initiation DS-TB, Doctor’s consultation after CXR	30	0.001
	Consulting Room - Doctor	Initial Consultation, Chest X-Ray, Treatment Initiation DSTB, Doctor’s consultation after CXR	5	0
	Laboratory	Receiving and initial registration of sputum specimens, sample processing and registration of results,	9.36	0
Digital CXR				0·19
GeneXpert				0·05
FBC Machine				0·06
Chemistry Analyser				0·09
Microscope				0·01
TSH Machine				0·01
Audiometry Machine				0·01
TB Mobile Van				0·57

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ISSN: 1472-6963

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