Budget impact
With a limited health budget, the total costs to the Government of implementing the health intervention will need to be assessed to determine whether the Government can afford it within the available resources.
To assess budget impact and how affordable the intervention is, consider:
- How much is the total cost for the Government to cover the intervention for all people who are eligible in the target population? Is it a large or small share of the total public budget available for covering health services?
- Some interventions may be very expensive, but because they are needed by only a small number of people, they might have a smaller budget impact.
- Other interventions may be relatively cheap, but because they are needed by a lot of people, they might have a larger budget impact.
- Will covering the intervention be affordable and sustainable?
- Will costs of the intervention go up or down?
- Will the number of people in need of the intervention go up or down?
Changing trends in Burden of the Health Condition can help you assess how the total cost of covering the intervention may change over time
- Is the size of the overall health budget likely to go up or down in coming years?
Budget Impact given Systems Factors & Constraints
In the real-world context of the health system & other factors
- Are there new investments needed in facilities, infrastructure, or other systems factors that will increase the total cost to deliver this intervention?
- Are these costs “one-time” investments that only apply at the introduction of a health intervention, or will there be ongoing budget implications for as long as the service is provided?