Costing tools

Planning and Budgeting for TB

World Health Organization

Graph illustration

Spreadsheet-based tool developed by the WHO Stop TB department with USAID funding. It provides a framework to develop plans and budgets for TB control in line with the Stop TB Strategy and the Global Plan to Stop TB, 2006-2015, i.e. total costs for TB control from the provider perspective. It includes epidemiological, demographic and financial historical data relevant to TB as well as projections of these up to 2015. These are set as default values and can be changed by countries if necessary. Targets for the coming years are set-out at the beginning and are linked with the relevant interventions. Each worksheet represents one intervention of the Stop TB Strategy and within each worksheet there is a ready-made list of likely inputs and activities to consider for planning and budgeting.

Besides costing information, it also collects sources of funding for each intervention and calculates funding gaps. It produces summary tables and figures automatically, including summary tables required by the TB Financial Monitoring Project of WHO and The Global Fund. Field-tested in at least one country of AFRO, AMRO, EMRO and SEAR. Used in planning and budgeting workshops for the African and Western Pacific Region and promoted also through the Global Fund Round 7 and 8 workshops. It is distributed through the website of the Stop TB Department at WHO. Guidelines are also available.


Andrea Pantoja
Katherine Floyd

Summary of main features

Purpose To assist in the planning and cost of activities to control TB in a country, in particular to plan in line with the Stop TB Strategy and targets set out in the Global Plan to Stop TB, 2006-2015.
Health MDGs addressed 6 (TB)
Scope of interventions All interventions recommended in the WHO Stop TB Strategy, e.g. quality assured bacteriology, management of MDR-TB, and TB program at all levels, e.g. program, facility, community and outreach.
Type of software Excel
User manual available Yes, tool has an in-built user guide plus accompanying documentation to help the user navigate in it.
Potential users National TB program managers/coordinators, at national or sub-national level.
Skills required knowledge on TB epidemiology and on TB control situation and activities at country level, basic skills in Excel
Type and length of training required 3 days are sufficient to know and be able to use the tool. To complete the tool, work of one to three full time weeks are required.
Costing strategy and methods Ingredients approach (quantities of resources required multiplies by unit cost of the resource); bottom-up approach.
Level of aggregation National, but can be used at sub-national level
Program/system costs included Yes
Time-frame Tool is set-up to cover the period 2006-2015. Users can decide which time-frame they need and want to cost.
Modeling of intervention impact or interactions on epidemiology or demography No. However, the epidemiological projections, included as default values within the tool, are in line with the Global Plan implementation and outcome targets. These targets are expected to have an impact on TB incidence, prevalence and mortality such that MDG plus Stop TB Partnership targets are achieved globally.
Output total cost of TB control interventions (overall and for each intervention), funding gaps and projection of patients to be treated.
Automatic generation of reports Yes, summary tables and figures.
Country applications 38 countries in Africa, 2 in Southeast Asia, 1 in Europe and Central Asia and 3 in the Western Pacific Region have been trained/introduced to the tool through workshops or on an individual request. 10 African countries have completed the tool (which account for 61% of the regional TB burden): DR Congo, Kenya, Gabon, Malawi, Mozambique (almost), Nigeria, South Africa, Tanzania, Uganda (almost) and Zambia. 2 countries have used the tool are sub-national level (South Africa) or have adapted to use it at sub-national level (Indonesia)