What are the cost implications of having nurses provide IUD insertion services instead of physicians?
In this sample health facility, the four different types of staff now involved in delivering the family planning service “IUD insertion” are: receptionist, counselor, nurse, and physician. The facility would like to explore the impact on the cost of using nurses, instead of physicians to perform the physical examination and insert the IUD. They have chosen to use the Cost- Analysis Methodology tool to determine the cost of staff time spent delivering this service, and explore a possible future scenario. To determine the cost of staff time in providing this service, you would enter data in the tool’s worksheet on the types of staff who provide this service, the time spent by each type of staff on this service, and the cost per minute for each type of staff in providing this service. The worksheet then calculates the total cost for the service for each type of staff (Column D), and the total staff costs for the service. The sample spreadsheet below shows that: • the total cost of the dir
