At the CEmONC RHC the breakdown was: direct care salaries 45.6%, medicines and supplies 6.6%, administrative and support salaries 29.8%, other operating costs 18% (see Table 1).
The strategic alliance between donors (who did not support salaries for government staff) and the central Ministry of Health (who were not in a position to hire new staff) was instrumental in encouraging task shifting.
The VA provided the partnerships with grants to support salaries for additional faculty positions, based either at the VA Medical Center (VAMC) or partnering university, to provide clinical, classroom, simulation lab and/or other kinds of instruction.
The breakdown of costs based on actual volumes at the BEmONC RHC was: direct care salaries 39.4%, medicines and medical and diagnostic supplies 10.6%, administrative and support salaries 26%, and other operating costs 24%.
With the government committing to support salaries of VCT sites co-located in health facilities this sustainable model became popular and up to 80% of VCT facilities to date remain in primary health care settings.
At present the national malaria control programme has managed to secure some funding to support salaries from the GFATM round 6 funding for a short period but no funds since 2008 to implement any activities [Hawa Guessod, Personal Communication].
