Cost and budget impact analysis of inclusive eye health approach to improve quality and equity in access to eye care services for people with disabilities in Kogi State, Nigeria

This study estimates and analyses the cost of improving access to eye health services for people with disabilities in Kogi State, Nigeria.

As part of the Disability Inclusive Development (DID) action, the task order 11 (TO11) has been implemented from December 2019 to September 2022, in Kogi State, Nigeria. The DID consortium aims to improve the inclusion of people with disabilities in six countries over six years.

The TO11 piloted an inclusive health approach to improve quality of access to eye health services for patients with disabilities in four health facilities: Ankpa, Idah, Okene and Kabba. Alongside the TO11 activities, a retrospective economic evaluation has been conducted, recognising the importance of understanding the cost and the resources necessary to deliver these results.

Two analyses have been conducted. First, an analysis of actual TO11 costs, looking at how much it cost to implement the different projects’ activities and the cost per beneficiary. Secondly, using the project data and actual costs from the TO11, we estimated the cost of scaling-up in four scenarios.

Given the scarcity of cost data on inclusive health delivery, we cannot compare our results, unit cost or cost per beneficiary with other external studies in similar contexts. However, the data gathered and computed would allow for a better understanding of how costs are distributed which will help identify opportunities to improve the efficiency for future project implementation.

Moreover, knowing the resources required for scaling up will help advocating for the integration of inclusive eye health service in regular health service delivery

The data and results from this study contribute to a better understanding of how costs are distributed for inclusive health projects and will help identify ways to improve efficiency for future project implementation. Moreover, knowing the resources required for scaling will help advocate for the integration of inclusive eye health services in regular health service delivery.

• Read the costing study