Skip to main content
HEOR Africa

Cross-cutting practice area

Costing studies and unit-cost data

Unit costs, programme and intervention costing, costed national strategies and cost databases — the cost evidence that insurance design, economic evaluation and budgeting all depend on.

The problem

Unit costs are the most frequently borrowed and least frequently checked inputs in health financing and economic evaluation. Published estimates are often out of date, drawn from a different facility level or country, or reported without the resource-use assumptions needed to reuse them. Without credible local costs, benefit packages, tariffs, investment cases and cost-effectiveness results are all difficult to defend.

What we deliver

  • Unit-cost studies

    Facility- and service-level unit costs by level of care, using bottom-up, top-down or mixed methods.

  • Programme and intervention costing

    Full and incremental costs of programmes and interventions, including start-up and recurrent costs.

  • Costing of strategic plans and packages

    Costed national and sector strategic plans, action plans and service packages, with resource-needs projections.

  • Cost databases and tools

    Documented, reusable cost datasets and costing tools that your team can update as prices change.

Methods

  • Bottom-up (ingredients-based) costing
  • Top-down and step-down cost allocation
  • Time-and-motion and resource-use surveys
  • Resource-needs projection
  • Uncertainty ranges for unit costs

How we work

  1. 01

    Define the costing question

    Agree the perspective, services, cost components, facility levels, costing year and currency, and how the results will be used.

  2. 02

    Choose the method

    Select bottom-up, top-down or mixed methods according to the decision, data availability and budget.

  3. 03

    Collect and validate data

    Gather resource use and prices from facility records, budgets, procurement data and expert input, with checks at each step.

  4. 04

    Analyse and document

    Calculate costs with uncertainty ranges, allocate shared costs transparently and document every assumption so results can be updated.

Every engagement follows our reproducible pipeline with three expert sign-off gates.

Typical deliverables

  • Documented, analysis-ready cost dataset (CSV and R)
  • Costing tool that lets you update prices and volumes
  • Methods report describing sources, allocation rules and limitations
  • Summary tables for use in financing models, economic evaluations and budgets

Start here: our free, sourced resources on costing — methods guides, blank Excel templates and calculators.

All free resources

Frequently asked questions

How long does a costing study take?

Typically 6–12 weeks, depending on whether primary data collection is needed.

Should we use bottom-up or top-down costing?

Bottom-up costing shows what drives costs and suits detailed questions; top-down costing is quicker and captures overheads. Most practical studies combine both, and we recommend a method once we understand the decision and the data.

Can we update the costs ourselves later?

Yes. We deliver a documented dataset and a costing tool so your team can update prices and volumes.

Discuss your question with us

Tell us what you need and we will reply within one business day with next steps — or book a 20-minute call.

WhatsApp HEOR Africa (opens WhatsApp)