Costing tools

Integrated Health Model

United Nations Development Programme

Graph illustration

The primary purpose of the Integrated Health Model is to help country governments estimate the total resources—human, infrastructural, financial—required to meet the health-related Millennium Development Goals (MDGs). It is one of a suite of sector tools used by the MDG Support Team in UNDP to aid countries in MDG-based planning.

The Integrated Health Model consolidates and builds on several health costing tools developed by other development partners, including WHO, UNICEF, UNFPA and UNAIDS. The model's key feature is the coherent scale-up of integrated health services anchored in a comprehensive treatment (including costing and identification of constraints) of the health system. It has been used widely across sub-Saharan Africa and is being rolled out in the Asia Pacific.


Summary of main features

Purpose To estimate the total costs of delivering integrated health services at scale to achieve the Millennium Development Goals.
Health MDGs addressed 4, 5, 6 and 8 (access to essential medicines)
Scope of interventions Health systems strengthening; commodity supply chain system; demand-side interventions; maternal and reproductive health; child health; malaria prevention and treatment; tuberculosis treatment; HIV (enabling environment, prevention, treatment and care & support); independent health programs
Type of software: Microsoft Excel
User manual available? Yes
Potential users: Government planners, bi- and multi-lateral development agencies
Skills required Familiarity with Excel, basic epidemiological parameters, basic math
Type and length of training required Interactive workshop with structured exercises; 1-2 days of training requiring depending on skills of trainees
Costing strategy and methods Unit cost approach (cost per case x number of cases)
Level of aggregation Tool can be used at national and sub-national levels. User chooses.
Program/system costs included? Yes
Time-frame: Flexible, up to 9-10 years
Modeling of intervention impact or interactions on epidemiology or demography? No estimates of impacts on health outcomes. User can elect to allow crude birth rate to be impacted by planned scale up of family planning services. Also, scale up of rapid diagnostic tests impacts number of people treated for malaria.
Output Total, per capita and average per capita costs for all interventions.
Automatic generation of reports? No. Some charts/graphs for HIV costs are automatically generated.
Country applications: Ecuador, Haiti, Malawi, Mozambique, Nepal, Nigeria, Rwanda, Uganda, Zanzibar