GiveWell's estimates of Deworm the World cost per treatment [2017]
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From here on, estimates are rougher and do not adjust for mis-reporting of treatment numbers
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India 2014 - 2015India 2015 - 2016India all yearsKenya Year 3Kenya Year 4Kenya Years 3-4VietnamNigeria
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ActivityBihar 2014 - 2015Madhya Pradesh 2014 - 2015Rajasthan 2014 - 2015Total India - 2014 - 2015%Bihar 2015 - 2016Chhattisgarh 2015-2016Madhya Pradesh 2015 - 2016Rajasthan 2015 - 2016Telangana 2015-2016Uttar Pradesh 2015-2016Total India - 2015 - 2016%Total India - all years%Kenya 2014 - 2015%Kenya 2015 - 2016%Total Kenya%2016%Cross River 2016%
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TOTAL COSTS by CATEGORYPolicy & advocacy$8,605$16,637$8,318$33,5601%$22,654$14,244$16,167$11,306$12,629$23,575$100,5752%$134,1361%$91,3713%$124,7654%$216,1363%$11,2092%$5,6491%
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Prevalence surveys$77,596$80,828$70,782$229,2066%$60,377$20,379$64,401$46,005$21,990$44,755$257,9065%$487,1115%$96,3143%$93,1693%$189,4843%$13,4742%$18,8155%
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Drug procurement & management$350,337$530,295$465,681$1,346,31337%$638,011$44,875$192,187$379,091$126,861$119,884$1,500,91028%$2,847,22331%$310,8429%$344,46612%$655,30810%$73,63511%$50,53413%
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Training & distribution$48,711$196,927$138,720$384,35710%$69,267$83,163$340,559$82,292$117,693$63,686$756,66014%$1,141,01813%$1,220,52735%$1,079,02936%$2,299,55536%$143,65421%$74,67720%
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Public mobilization & community sensitization$119,156$305,630$150,581$575,36716%$204,200$90,475$399,027$124,503$124,962$173,969$1,117,13621%$1,692,50219%$200,4736%$96,2843%$296,7575%$79,60311%$21,3746%
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Monitoring & evaluation$96,837$81,794$86,288$264,9197%$46,845$38,348$53,631$47,368$37,852$42,515$266,5605%$531,4796%$210,2976%$111,2344%$321,5325%$76,15111%$26,7537%
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Program management$206,849$334,188$178,425$719,46320%$283,033$155,528$239,360$200,852$112,206$233,628$1,224,60723%$1,944,07021%$1,249,40736%$1,009,96834%$2,259,37535%$270,59839%$166,41044%
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GiveWell added costs to account for several high-level activities Deworm the World does not include in its cost per treatment analyses, as they are not directly related to any particular program
$32,936$56,083$39,853$128,8724%$48,035$16,213$47,344$32,331$20,100$25,462$189,4844%$318,3564%$122,5634%$103,6914%$226,2544%$24,2404%$13,2104%
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Total $941,027$1,602,382$1,138,648$3,682,057100%$1,372,422$463,225$1,352,676$923,750$574,293$727,472$5,413,838100% $ 9,095,895 100%$3,501,793100%$2,962,608100%$6,464,401100%$692,564100%$377,422100%
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Costs of donated drugs only $ 349,867 $ - $ 275,522 $ 625,388 $ 626,142 $ - $ 168,347 $ 275,522 $ - $ - $ 1,070,010 $ 1,695,398 $ 239,106 $ 308,359 $ 547,465 $63,948$50,133
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Total adjusted children dewormed 10,214,775 10,604,281 9,942,889 30,761,946 27,069,0962,076,29312,994,62118,340,8489,071,5966,586,99276,139,446 106,901,392 6,485,657 6,430,409 12,916,066 715,812 527,634
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Total cost-per-treatment (no staff time)$0.09$0.15$0.11$0.12$0.05$0.22$0.10$0.05$0.06$0.11$0.07 $ 0.09 $ 0.54 $ 0.46 $ 0.50 $ 0.97 $ 0.72
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Total cost-per-treatment (no staff time), subtracting drug costs
$0.06$0.10$0.07$0.08$0.03$0.20$0.09$0.03$0.05$0.09$0.05$0.06 $ 0.49 $ 0.41 $ 0.45 $ 0.86 $ 0.62
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Assumed additional costs of staff time - training$576,196$598,167$560,859$1,735,222$1,526,916$117,120$733,002$1,034,572$511,711$371,560$4,294,880$6,030,102
Included in below
Included in below
Included in below
Included in below
Included in below
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Assumed additional costs of staff time - DD and MUD$2,026,481$2,103,755$1,972,543$6,102,779$5,370,164$411,910$2,577,968$3,638,591$1,799,689$1,306,775$15,105,097$21,207,87630%30%30%0%30%
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Total cost-per-treatment w/ staff time$0.35$0.41$0.37$0.37$0.31$0.48$0.36$0.31$0.32$0.37$0.33$0.34$0.77 $ 0.66 $ 0.71 $ 0.97 $ 1.02
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Total cost-per-treatment w/ staff time, subtracting drug costs
$0.31$0.36$0.32$0.33$0.28$0.46$0.34$0.28$0.30$0.35$0.31$0.31$0.49 $ 0.41 $ 0.45 $ 0.86 $ 0.62
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Activity
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DEWORM THE WORLD'S COSTS ONLYPolicy & advocacy$8,605$16,637$8,318$33,560100%$21,815$14,024$15,885$10,943$12,387$23,014$98,0674%$131,6283%$91,3713%$124,765100%$216,1364%$3,6692%$5,6492%
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Prevalence surveys$77,596$80,828$70,782$229,206100%$60,377$20,379$64,401$46,005$21,990$44,755$257,90611%$487,11112%$5,7320%$00%$5,7320%$370%$00%
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Drug procurement & management$0$584$181$7650%$3,985$8,975$18,791$18,409$5,870$11,175$67,2053%$67,9702%$56,8182%$8,6953%$65,5131%$00%$4010%
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Training & distribution$37,737$62,035$37,543$137,31636%$58,581$28,926$31,826$25,282$15,145$38,201$197,9628%$335,2778%$1,220,52739%$1,079,029100%$2,299,55540%$00%$74,67724%
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Public mobilization & community sensitization$28,365$38,923$58,048$125,33622%$35,583$22,263$23,484$27,407$33,319$23,731$165,7867%$291,1227%$200,4736%$96,284100%$296,7575%$2690%$21,3747%
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Monitoring & evaluation$96,837$54,694$76,729$228,26086%$45,028$36,693$45,281$44,039$37,094$42,515$250,65110%$478,91112%$210,2977%$111,234100%$321,5326%$00%$23,1218%
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Program management$206,849$334,188$178,425$719,463100%$283,033$155,528$239,360$200,852$112,206$233,628$1,224,60750%$1,944,07048%$1,249,40740%$1,009,968100%$2,259,37540%$187,61987%$166,41055%
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GiveWell added costs to account for several high-level activities Deworm the World does not include in its cost per treatment analyses, as they are not directly related to any particular program
$32,936$56,083$39,853$128,872100%$48,035$16,213$47,344$32,331$20,100$25,462$189,4848%$318,3568%$122,5634%$103,691$226,2544%$24,24011%$13,2104%
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Total $488,926$643,971$469,881$1,602,77844%$556,436$303,001$486,371$405,269$258,112$442,479$2,451,668100%$4,054,445100%$3,157,187100%$2,533,66886%$5,690,855100%$215,834100%$304,842100%
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TOTAL COSTS by FUNDERCategory
Cost per treatment
Cost per treatment
Cost per treatment
Cost per treatment
Cost per treatment
Cost per treatment
Cost per treatment
Cost per treatment
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Deworm the World Initiative$488,926$643,971$469,881$1,602,778$0.05$556,436$303,001$486,371$405,269$258,112$442,479$2,451,668$0.03$4,054,445$0.04$3,157,187$0.49$2,533,668$0.39$5,690,855$0.44$215,834$0.03$304,842$0.05
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Partners$349,867$0$337,904$687,770$0.02$626,142$0$170,619$275,522$75$0$1,072,358$0.01$1,760,128$0.02$329,688$0.05$401,528$0.06$731,216$0.06$195,534$0.03$72,580$0.01
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Government financial costs$102,234$958,411$330,864$1,391,509$0.05$189,843$160,224$695,685$242,960$316,107$284,993$1,889,813$0.02$3,281,321$0.03$14,918$0.00$27,412$0.00$42,330$0.00$281,196$0.04$0$0.00
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Government staff time value$2,602,677$2,701,922$2,533,402$7,838,001$0.25$6,897,080$529,030$3,310,969$4,673,163$2,311,400$1,678,335$19,399,977$0.25$27,237,978$0.25$1,485,851$0.23$1,242,277$0.19$2,728,128$0.21Unknown-Unknown-
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Total government costs$2,704,911$3,660,332$2,864,266$9,229,510$0.30$7,086,924$689,254$4,006,654$4,916,123$2,627,507$1,963,328$21,289,790$0.28$30,519,300$0.29$1,500,768$0.23$1,269,689$0.20$2,770,458$0.21$281,196$0$0
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Subtotal without staff time$941,027$1,602,382$1,138,648$3,682,057$0.12$1,372,422$463,225$1,352,676$923,750$574,293$727,472$5,413,838$0.07$9,095,895$0.09$3,501,793$0.54$2,962,608$0.46$6,464,401$0.50$692,564$0.97$377,422$0.72
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Total costs$3,543,704$4,304,303$3,672,050$11,520,058$0.37$8,269,502$992,255$4,663,645$5,596,913$2,885,694$2,405,808$24,813,816$0.33$36,333,873$0.34$4,987,644$0.77$4,204,885$0.65$9,192,529$0.71$692,564$0.97$377,422$0.72
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COST per TREATMENT by CATEGORY and FUNDER
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Cost of donated drugs per treatment$0.03$0.00$0.03$0.02$0.02$0.00$0.01$0.02$0.00$0.00$0.01$0.02$0.04$0.05$0.04$0.09$0.10
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Additional partner cost per treatment (other than donated drugs)
$0.00$0.00$0.01$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.01$0.01$0.01$0.18$0.04
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Government financial cost per treatment$0.01$0.09$0.03$0.05$0.01$0.08$0.05$0.01$0.03$0.04$0.02$0.03$0.00$0.00$0.00$0.39$0.00
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Government staff time value cost per treatment$0.25$0.25$0.25$0.25$0.25$0.25$0.25$0.25$0.25$0.25$0.25$0.25$0.23$0.19$0.21UnknownUnknown
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Deworm the World's cost per treatment$0.05$0.06$0.05$0.05$0.02$0.15$0.04$0.02$0.03$0.07$0.03$0.04$0.49$0.39$0.44$0.30$0.58
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Total cost per treatment$0.35$0.41$0.37$0.37$0.31$0.48$0.36$0.31$0.32$0.37$0.33$0.34$0.77$0.65$0.71$0.97$0.72
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PROJECTED SPENDING 2017-2020India#REF!#REF!
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Pakistan#REF!
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Nigeria#REF!
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Kenya#REF!
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IndiaKenyaNigeria and Pakistan (at 125% of Kenya costs)Average weighted by projected future spending
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ESTIMATED AVERAGE COST per TREATMENT GOING FORWARDDeworm the World & partners not providing drugs$0.04$0.45$0.57#REF!
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Donated drugs$0.02$0.04$0.05#REF!
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Government financial costs$0.03$0.00$0.00#REF!
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Government staff time value$0.25$0.21$0.26#REF!
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Total$0.34$0.71$0.89#REF!
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Variation from average#REF!#REF!#REF!
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Assumption: proportional costs of high-level activities that Deworm the World does not include in its cost per treatment analyses, as they are not directly related to any particular program
3.5%
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Source
"I also confirmed the value of costs we did not allocate across our costing models between January 1, 2014 and July 31, 2015 to be $235,000 or roughly 3.5% of our costs for that window of time. " Austin Walker, Program Analyst at Deworm the World Initiative, email to GiveWell, October 7, 2016.
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