CHDS faculty Stephen Resch and Research Staff Joseph Corlis produced “A Roadmap for Implementing Change in Costing Capacity and Practices” as part of a project supported by the Bill & Melinda Gates Foundation to perform and improve costing activities in low- and middle-income countries. The roadmap centers on three dimensions of costing: data & tools, knowledge & skills, and processes & governance. It applies Kotter’s 8-Step Process for Leading Change to initiating and sustaining improvements, drawn from the field of organizational change research. Readers can use the roadmap’s baseline assessment of current costing activities and capabilities to diagnose the strengths and challenges within their respective organizations. Descriptions of ongoing efforts to conduct and strengthen costing exercises in Kenya and Mozambique complement the roadmap’s theoretical explanations.
Other activities in this project include formulating budgets for national strategic plans, contributing to investment cases for HIV, developing resources that facilitate costing activities, and conducting assessments featuring stakeholder interviews and document reviews. Future resources from this project will include an assessment of lessons learned from the development of unit cost repositories for low- and middle-income countries and a methods guide for policy exercises projecting resource needs for health programs.