Table 3

Total annual cost of HEARTS hypertension control programme in four subdistricts

	Golapganj		Fenchuganj		Beanibazar		Bishwanath		Total
	BDT	USD	BDT	USD	BDT	USD	BDT	USD	BDT	USD
H: Healthy lifestyles	13 335 339	157 071	4 765 107	56 126	10 800 324	127 212	9 947 252	117 164	38 848 022	457 574
H1: Training costs	418 990	4935	418 990	4935	418 990	4935	418 990	4935	1 675 960	19 740
H1.1: Facility rental (% of H1)	18 000	212	18 000	212	18 000	212	18 000	212	72 000	848
H1.2: Human resources	20 000	236	20 000	236	20 000	236	20 000	236	80 000	942
H1.3: Instructive handbooks	35 000	412	35 000	412	35 000	412	35 000	412	140 000	1649
H1.4: Per diem/transportation	339 990	4005	339 990	4005	339 990	4005	339 990	4005	1 359 960	16 018
H1.5: Refreshments	6000	71	6000	71	6000	71	6000	71	24 000	283
H2: Brief counselling costs	12 816 349	150 958	4 246 117	50 013	10 281 334	121 099	9 428 262	111 051	36 772 062	433 122
H2.1: Tobacco	9 272 756	109 220	3 072 108	36 185	7 438 647	87 617	6 821 441	80 347	26 604 952	313 368
Provider time to administer 5A’s	3 807 374	44 845	1 261 401	14 857	3 054 293	35 975	2 800 870	32 990	10 923 938	128 668
Informational materials (print)	5 465 382	64 374	1 810 707	21 328	4 384 354	51 641	4 020 572	47 357	15 681 014	184 700
H2.2: Alcohol	933 641	10 997	309 320	3643	748 971	8822	686 827	8090	2 678 759	31 552
Provider time to administer 5A’s	383 351	4515	127 006	1496	307 526	3622	282 010	3322	1 099 893	12 955
Informational materials (print)	550 290	6482	182 314	2147	441 445	5200	404 817	4768	1 578 866	18 597
H2.3: Physical inactivity	2 609 952	30 741	864 689	10 185	2 093 715	24 661	1 919 994	22 615	7 488 350	88 202
Provider time to administer 5A’s	1 071 641	12 622	355 040	4182	859 675	10 126	788 345	9286	3 074 701	36 216
Informational materials (print)	1 538 311	18 119	509 650	6003	1 234 040	14 535	1 131 648	13 329	4 413 649	51 986
H3: Other programme costs	100 000	1178	100 000	1178	100 000	1178	100 000	1178	400 000	4711
Community awareness meetings	50 000	589	50 000	589	50 000	589	50 000	589	200 000	2356
Community health workers training	50 000	589	50 000	589	50 000	589	50 000	589	200 000	2356
E: Evidence-based treatment protocols	35 959 415	423 550	11 913 524	140 324	28 846 806	339 774	26 453 304	311 582	103 173 049	1 215 230
E1: Ask about patient history - provider time	5 317 334	62 631	1 761 658	20 750	4 265 589	50 243	3 911 661	46 074	15 256 241	179 697
E2: Assess via physical exam and diagnostic tests - provider time	5 317 334	62 631	1 761 658	20 750	4 265 589	50 243	3 911 661	46 074	15 256 241	179 697
E3: Return visits - Counsel and treat per protocol - provider time	25 324 748	298 289	8 390 209	98 825	20 315 628	239 289	18 629 982	219 434	72 660 567	855 837
A: Access to Essential Medicines and Technologies	40 197 017	473 463	13 429 971	158 186	32 279 509	380 206	29 615 146	348 824	115 521 643	1 360 679
A1: Hypertension medications	40 028 765	471 481	13 261 719	156 204	32 111 257	378 224	29 446 893	346 842	114 848 633	1 352 752
Amlodipine 5 mg	9 873 894	116 300	3 271 268	38 531	7 920 882	93 297	7 263 664	85 556	28 329 707	333 683
Losartan 50 mg	30 016 637	353 553	9 944 653	117 134	24 079 482	283 622	22 081 538	260 089	86 122 310	1 014 397
Hydrochlorothiazide 12.5 mg	138 235	1628	45 798	539	110 892	1306	101 691	1198	396 616	4672
A2: Diagnostic technologies, machines and supplies	168 253	1982	168 253	1982	168 253	1982	168 253	1982	673 010	7927
R: Risk-based management	172 334	2030	172 334	2030	172 334	2030	172 334	2030	689 336	8119
R1: Training costs	172 334	2030	172 334	2030	172 334	2030	172 334	2030	689 336	8119
T: Team-based care Savings from training nurses and CHWs to do tasks customarily performed by doctors	13 815 043	162 721	4 576 989	53 910	11 082 490	130 536	10 162 944	119 705	39 637 467	466 872
T1: Savings from training nurses	11 976 134	141 062	3 967 750	46 734	9 607 309	113 160	8 810 163	103 771	34 361 355	404 727
Savings from counselling to change behaviour	1 355 873	15 970	449 207	5291	1 087 688	12 811	997 439	11 748	3 890 208	45 821
Savings from screening for--and assess--CVD risk	3 367 235	39 661	1 115 581	13 140	2 701 212	31 816	2 477 084	29 176	9 661 112	113 794
Savings from treating CVD risk	7 253 025	85 430	2 402 961	28 303	5 818 410	68 533	5 335 639	62 846	20 810 036	245 112
T2: Savings from training CHWs	1 838 909	21 660	609 239	7176	1 475 181	17 376	1 352 781	15 934	5 276 112	62 145
Savings from counselling to change behaviour	1 838 909	21 660	609 239	7176	1 475 181	17 376	1 352 781	15 934	5 276 112	62 145
S: Systems for monitoring	3 114 636	36 686	3 114 636	36 686	3 114 636	36 686	3 114 636	36 686	12 458 546	146 744
S1: Human resources	2 969 636	34 978	2 969 636	34 978	2 969 636	34 978	2 969 636	34 978	11 878 546	139 912
S2: Technology	110 000	1296	110 000	1296	110 000	1296	110 000	1296	440 000	5183
S3: Supplies	10 000	118	10 000	118	10 000	118	10 000	118	40 000	471
S4: Training	25 000	294	25 000	294	25 000	294	25 000	294	100 000	1178
Total Programme Cost (H+E+A+R+T+S)	92 778 742	1 092 800	33 395 573	393 352	75 213 609	885 908	69 302 672	816 286	270 690 596	3 188 346

BDT, Bangladesh Taka; CHWs, community health worker; CVD, cardiovascular disease.