Health Policy Project

The Health Policy Project ended in 2016. Work continued under Health Policy Plus (HP+) until 2022.


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Estimating the Provider and Client Costs of Medical Male Circumcision in South Africa
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Author(s): Michel Tchuenche, Steven Forsythe, Dayanund Loykissoonlal, Eurica Palmer, Dacia McPherson, and Vibhuti Haté

Primary Language: English

Date: 9/30/2015


The USAID and PEPFAR-funded Health Policy Project team, at the request of and in collaboration with the National Department of Health, conducted a detailed study in 2015 of the costs of providing medical male circumcision in South Africa. The objectives of this study were to:

• Derive the unit cost of delivering medical male circumcision in South Africa at the facility level

• Assess costs from a client perspective

• Identify the level of spending currently incurred for demand creation

The study’s findings, presented in this report, provide a detailed investigation, through a comprehensive bottom-up approach, of the costs to providers in offering medical male circumcision, as well as the cost to clients in receiving medical male circumcision. Results from the study will assist the South African government to assess the actual unit costs of medical male circumcision delivery and scale-up and provide information about the financial barriers medical male circumcision clients might face. This analysis will also support the National Department of Health, development partners, and implementing partners to better project resources needed for medical male circumcision service delivery and to understand cost drivers and cost variances across provinces and different modes of medical male circumcision service delivery (e.g., circumcision provided at fixed sites vs. circumcision provided as part of outreach programs). The cost data from this report will also inform the second round of South Africa’s investment case analysis.

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The Health Policy Project is a five-year cooperative agreement funded by the U.S. Agency for International Development under Agreement No. AID-OAA-A-10-00067, beginning September 30, 2010. The project's HIV-related activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). It is implemented by Futures Group, in collaboration with Plan International USA, Avenir Health (previously Futures Institute), Partners in Population and Development, Africa Regional Office (PPD ARO), Population Reference Bureau (PRB), RTI International, and White Ribbon Alliance for Safe Motherhood (WRA). The information provided on this Web site is not official U.S. Government information and does not represent the views or positions of the U.S. Agency for International Development or the U.S. Government.

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