Costing Analysis of Health & Nutrition Emergence Programme in Yemen

Key findings from the costing analysis established that:
• Treating severe acute malnutrition (SAM) in a child under five costs $214.08 per child, with an average cure rate of 82.9%. When adjusted for benchmarking, the direct program costs were $170 compared to $120 in the Humanitarian Response Plan (HRP).
• Improving access to essential child health services costs $4.99 per child beneficiary per year. This includes the diagnosis and treatment of common childhood illnesses, under-2 vaccinations, and immunizations for measles and poliovirus.
• Making essential reproductive health care services accessible to a vulnerable mother costs $8.04 per mother per year, including antenatal and postnatal care, assisted delivery, and providing delivery kits.
• The unit cost of operationalizing health facilities and mobile teams, along with training staff, is $6318.34 per mobile team site per year. Each mobile team serves up to 15,000 people, resulting in an average cost of $1.42 per actual beneficiary per year.
• The average cost of training a health worker in Community Management of Acute Malnutrition (CMAM) is $373.05 per worker. CMAM community volunteer training costs $354.85 per volunteer, while child and maternal health messages and Infant and Young Child Feeding (IYCF) training cost $438.10 per volunteer.
• The cost of reaching caregivers of children under five and pregnant/lactating women with behavior change communication interventions is $0.81 per caregiver and $8.91 per mother. The interventions promote nutrition, health, and WASH practices.
Cost benchmarking compared six activities, showing that Save the Children’s (SC) costs were within a plausible range of the HRP costs for most activities.