A framework for assessing import costs of medical supplies and results for a tuberculosis program in Karakalpakstan, Uzbekistan [Research Data] (doi:10.11588/data/JM2H6I)

View:

Part 1: Document Description
Part 2: Study Description
Part 3: Data Files Description
Part 4: Variable Description
Part 5: Other Study-Related Materials
Entire Codebook

A framework for assessing import costs of medical supplies and results for a tuberculosis program in Karakalpakstan, Uzbekistan [Research Data]

doi:10.11588/data/JM2H6I

heiDATA

2021-09-07

1

Kohler, Stefan; Sitali, Norman; Paul, Nicolas, 2021, "A framework for assessing import costs of medical supplies and results for a tuberculosis program in Karakalpakstan, Uzbekistan [Research Data]", https://doi.org/10.11588/data/JM2H6I, heiDATA, V1, UNF:6:BWxSViGhUpB/lzuDDa3q/A== [fileUNF]

A framework for assessing import costs of medical supplies and results for a tuberculosis program in Karakalpakstan, Uzbekistan [Research Data]

doi:10.11588/data/JM2H6I

Kohler, Stefan (Heidelberg University, Faculty of Medicine and University Hospital, Heidelberg Institute of Global Health, Heidelberg, Germany and Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Social Medicine, Epidemiology and Health Economics, Berlin, Germany)

Sitali, Norman (Médecins Sans Frontières, Berlin, Germany)

Paul, Nicolas (Heidelberg Institute of Global Health, Heidelberg University, Heidelberg, Germany)

heiDATA

Kohler, Stefan

https://doi.org/10.11588/data/JM2H6I

Medicine, Health and Life Sciences, Central Asia, Cost Analysis, Freight Costs, Import Costs, Health program, Humanitarian Aid, Shipping Costs, Supply Chain, Transportation Costs, Tuberculosis, Uzbekistan

Background: Import of medical supplies is common, but limited knowledge about import costs and their structure introduces uncertainty to budget planning, cost management, and cost-effectiveness analysis of health programs. We aimed to estimate the import costs of a tuberculosis (TB) program in Uzbekistan, including the import costs of specific imported items. Methods: We developed a framework that applies costing and cost accounting to import costs. First, transport costs, customs-related costs, cargo weight, unit weights, and quantities ordered were gathered for a major shipment of medical supplies from the Médecins Sans Frontières (MSF) Procurement Unit in Amsterdam, the Netherlands, to a TB program in Karakalpakstan, Uzbekistan, in 2016. Second, air freight, land freight, and customs clearance cost totals were estimated. Third, total import costs were allocated to different cargos (standard, cool, and frozen), items (e.g., TB drugs), and units (e.g., one tablet) based on imported weight and quantity. Data sources were order invoices, waybills, the local MSF logistics department, and an MSF standard product list. Results: The shipment contained 1.8 million units of 85 medical items of standard, cool, and frozen cargo. The average import cost for the TB program was 9.0% of the shipment value. Import cost varied substantially between cargos (8.9–28% of the cargo value) and items (interquartile range 4.5–35% of the item value). The largest portion of the total import cost was caused by transport (82–99% of the cargo import cost) and allocated based on imported weight. Ten (14%) of the 69 items imported as standard cargo were associated with 85% of the standard cargo import cost. Standard cargo items could be grouped based on contributing to import costs predominantly through unit weight (e.g., fluids), imported quantity (e.g., tablets), or the combination of unit weight and imported quantity (e.g., items in powder form). Conclusion: The cost of importing medical supplies to a TB program in Karakalpakstan, Uzbekistan, was sizable, variable, and driven by a subset of imported items. The framework used to measure and account import costs can be adapted to other health programs.

2016-11-2016-12

Kohler S, Sitali N, Paul N. A framework for assessing import costs of medical supplies and results for a tuberculosis program in Karakalpakstan, Uzbekistan. Health Data Science 2021: article ID 9813732.

10.34133/2021/9813732

Kohler S, Sitali N, Paul N. A framework for assessing import costs of medical supplies and results for a tuberculosis program in Karakalpakstan, Uzbekistan. Health Data Science 2021: article ID 9813732.

• Number of cases: 65366

• No. of variables per record: 15

• Type of File: text/tab-separated-values

UNF:6:BWxSViGhUpB/lzuDDa3q/A==

• A - A
• B - B
• C - C
• D - D
• E - E
• F - F
• G - G
• H - H
• I - I
• J - J
• K - K
• L - L
• PlantageMiddenlaan14 - PlantageMiddenlaan14
• N - N
• O - O

f5024 Location:

Variable Format: character

Notes: UNF:6:bPx/ZtPjk0K1AESQTO6Y0A==

f5024 Location:

Variable Format: character

Notes: UNF:6:/0LG904KXCzCTouOHm6kEw==

f5024 Location:

Variable Format: character

Notes: UNF:6:2mXdA6mWWrSfXpkc6trsiw==

f5024 Location:

Variable Format: character

Notes: UNF:6:6Q5dK1WukdUP3Zt4C2kHwg==

f5024 Location:

Variable Format: character

Notes: UNF:6:xQGyjpO+4MXpd3/C1Uy5Ig==

f5024 Location:

Variable Format: character

Notes: UNF:6:45V2vroO1XddcEwYDppR4A==

f5024 Location:

Variable Format: character

Notes: UNF:6:bTW68bmLssyZScakkefKFA==

f5024 Location:

Variable Format: character

Notes: UNF:6:Wz2eb8j+wvhP5KRgGRNMZg==

f5024 Location:

Variable Format: character

Notes: UNF:6:MtZaM2qJ6vLyRr1esTsriA==

f5024 Location:

Variable Format: character

Notes: UNF:6:qDzg3lyQy4dQTc+C2G+Oyw==

f5024 Location:

Variable Format: character

Notes: UNF:6:lPMfMKQBo14QwsbemJadIQ==

f5024 Location:

Variable Format: character

Notes: UNF:6:XeKz7X3dZdXYNPpyosZlyg==

f5024 Location:

Variable Format: character

Notes: UNF:6:M4PVyg73ZYMBnGqC/AC9Pg==

f5024 Location:

Variable Format: character

Notes: UNF:6:/UFqp2OojEky+ihPH1JX2w==

f5024 Location:

Variable Format: character

Notes: UNF:6:pZ3gvo07ZkExmt4IWsu3lw==

Label:

0_readme.txt

Text:

information about the other files

text/plain

Label:

dstats.do

Text:

Stata do-file

application/x-stata-syntax

Label:

fig_allocation.do

Text:

Stata do-file

application/x-stata-syntax

Label:

fig_bar.do

Text:

Stata do-file

application/x-stata-syntax

Label:

fig_box.do

Text:

Stata do-file

application/x-stata-syntax

Label:

fig_hbar.do

Text:

Stata do-file

application/x-stata-syntax

Label:

fig_hist.do

Text:

Stata do-file

application/x-stata-syntax

Label:

fig_surface.do

Text:

Stata do-file

application/x-stata-syntax

Label:

label.do

Text:

Stata do-file

application/x-stata-syntax

Label:

mk_dta.do

Text:

Stata do-file

application/x-stata-syntax

Label:

reg.do

Text:

Stata do-file

application/x-stata-syntax