Introduction and objectives of the study
The overall objective of this study was to estimate the unit expenditure for FTYMs services delivered in Mtwapa DICE. The analysis was undertaken from a program perspective using step-down costing methods. The unit expenditure per person per year is the cost of providing one FTYM with SRH and HIV services for a full 12 months.
The overall unit expenditure per FTYM per year was $404.119 (equivalent to Ksh 40,419).
The largest cost drivers were supplies which represents 59.2% of all costs, followed by meetings and personnel costs, which accounted for 17.10% and 13.3% of all costs respectively. We further analyzed expenditure data by visit.
The mean unit expenditure per visit for the FTYMs services ranged from $3.73 to $100.48 per visit. The largest cost driver in the FTYMs program was supplies which represents 59.2% of all costs. This was followed by meetings and personnel costs, which accounted for 17.10% and 13.3% respectively of all costs.
We found considerable variation in the unit expenditure per month with the highest unit expenditure being 100.48 and the lowest $3.73.
The findings did not find a clear relationship between scale and unit expenditure although July, the month with the highest number of FTYMs (391) exhibited the least unit expenditure. We did not establish a consistent pattern of the effect of scale (number of FTYMs) and the unit expenditure.
This study provides the most complete evidence to date on the unit expenditure of FTYMs project supported by UNFPA through ICRH. While this study has provided an important characterization of the costs of the FTYMs programs services, further research and analysis of these data is required to examine the determinants of costs, including whether the extent of integration has an impact on costs.