Primary Health Care Costing Tool Development and Implementation

Project Overview

With support from the Bill & Melinda Gates Foundation, MSH is developing a new costing tool to help countries strengthen their primary health care (PHC) services. The cost information obtained will help countries advocate for more resources and improve resource allocation and use, resulting in better access to and quality of care.   

The new tool will be the first designed specifically for costing comprehensive, integrated PHC services. It will cover community, health center, and primary hospital services as well as system management and will produce unit costs for each type of service and total costs by facility type, district, and country. The tool will be a public good and available free of charge, and it will be spreadsheet based and open source, allowing users to adapt it to local needs. It will be accompanied by user guidelines and training materials. 

Over the next two years, we will work closely with experts from country governments, international organizations, and universities to ensure that the tool will complement existing tools, will be as simple and practical as possible, and will meet the needs of users and policy makers. The tool will be piloted by MSH in several countries, and training and support will be provided to other countries that wish to use it during the course of the project. 

This new tool builds on MSH’s many years of experience in developing and using costing tools for health services and programs. For more information, please contact Colin Gilmartin ( 

Learn more about MSH's health care costing work

Project Team