Table 3 Indicator matrix
Indicator(s) | Definition/description | Data Collection Method | Time period |
|---|---|---|---|
Monthly cost per child per CMAM service component | Average monthly cost incurred per child in each service (SC, OTP, SFP). Estimated as: the total costs per service per month divided by the number of children who were enrolled in each service per month | Review of financial records, off-budget costs collected via interviews, time allocation interviews, study data, and CMAM program records | Monthly |
Length of Stay (LoS) per child per CMAM service component | Average length of stay in each service, defined as the time from admission to discharge in each SC, OTP, and SFP separately. (When a child transfers from one component to another, this equates to a “discharge” and marks the end of his stay in that component of the CMAM program.) This will be estimated in months (and fractions of months) and calculated for initial SAM episode treatment, relapse to AM episode retreatment, and time in retreatment for any and all episodes of relapse to AM during the six months following initial SAM recovery | study data; and CMAM program records | Entire study period |
Average cost per child for initial SAM recovery | The overall cost to recover children enrolled in treatment for initial episode of SAM. Calculated using methods comparable to standard CMAM costing studies that do not account for relapse. Estimated as: the total costs of initial SAM treatment divided by the number of children recovered in initial SAM treatment | Review of financial records, off-budget costs collected via interviews, time allocation interviews, study data, and CMAM program records | Entire study period |
Average cost of initial treatment for study eligible children | The cost per initial treatment episode (only for children recovered who were eligible for inclusion in the study) to be used in estimating total per-child treatment costs. This represents the average cost of treating a child with SAM who does not relapse. Estimated as: total cost of initial SAM treatment multiplied by the proportion of children recovered in initial treatment, divided by the number of children recovered in initial SAM treatment | Review of financial records Off-budget costs collected via interview Time allocation interviews # of children enrolled per service and LoS from study records | Entire study period |
Average cost of retreatment for relapses during six-month post-discharge period | The average cost of retreatment for any and all relapse(s) to AM episodes within six months post-discharge from initial recovery. Estimated as: monthly cost per child per service multiplied by the average LoS in each service (in months) and for relapsed children | Review of financial records, off-budget costs collected via interviews, time allocation interviews, study data, and CMAM program records | Entire study period |
Total average cost of relapse | The average total cost incurred for treatment of a child who relapses fails to sustain recovery for at least six months post initial recovery. Estimated as: cost of initial treatment + cost of retreatment for relapses during six-month post-discharge period | Review of financial records, off-budget costs collected via interviews, time allocation interviews, study data, and CMAM program records | Entire study period |