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Table 1 Estimates of predicted CHW programme costs for selected countries in sub-Saharan Africa (in US$)

From: Community health workers at the dawn of a new era: 4. Programme financing

Country Column 1: Year in which costs were estimated and the final year in which the programme was (or will be) fully deployed Column 2: Estimated annual cost of CHW programme (in millions), with commodities Column 3: Estimated annual cost of CHW programme (in millions), without commodities Column 4: Country population (in millions) Column 5: CHW programme cost per capita (with commodities) Column 6: Number of CHWs Column 7: CHW programme cost per CHW Column 8: Monthly salary of CHWs Column 9: Approximate number of people in each CHW’s catchment area
Burkina Faso 2019, 2023 $32. 2 $27.2 20.3 $1.59 13 500 $2 764 $35 1 504
Liberia 2016, 2021 $11.8 $9.5 4.9 $2.41 8 311 $3 115 $70 590
Malawi 2017, 2022 $109.0 $85.7 18.6 $5.86 14 910 $2 384 $135 1 247
Rwanda 2019, 2019 $34.0 $28.1 12.6 $2.70 60 000 $567 $0 210
Sierra Leone 2016, 2020 $30.6 $17.2 7.8 $3.92 13 644 $2 038 $23 572
South Africa 2017, 2017 $743.9 $705.6 58.6 $12.69 95 962 $7 751 $208 611
South Sudan 2019, 2023 $34.1 $27.6 11.1 $3.07 28 755 $1 185 $7 386
Zambia 2018, 2021 $140.2 $68.7 17.9 $7.83 42 140 $3 559 $23 425
Zanzibar 2019, 2025 $2.4 $1.7 1.6 $5.63 2 616 $3 440 $22 612
Zimbabwe 2020, 2025 $51.3 $38.7 7.6 $24.05 17 400 $1 745 $75 437
Median value      $4.77   $2 574 $35* 581
  1. *Does not include Rwanda
  2. All data are reported in 2019 US dollars. These costs are steady-state recurring costs (i.e., the costs of operating CHW programmes after scale-up is complete and the programmes have reached their steady state). It is important to note that not all programmes may reach the steady state due to other bottlenecks such as inadequate financing not being available to complete scale-up.
  3. Calculations: Column 5 = Column 2/Column 4; Column 7 = Column 2/Column 6; Column 9 = Column 4/Column 6
  4. Sources of information: Columns 1–3, 5, 6, 8 [44]; Column 4: [54]