Zina Jarrah of MSH and Eric Swedberg of Save the Children present during the Costing and Financing session at the 2014 iCCM Symposium. Photo courtesy of UNICEF.


Financial viability, or achieving equilibrium between program income (the amount of money coming into the program from any source) and expenditures (the amount of money going out), is critical to the sustainability of CCM. Equilibrium may not be achieved during program start-up, when there are potentially higher initial costs (i.e. initial intensive training, capitalization of a revolving medicine fund (RMF)). However, strategies for financial viability must be planned early. As a program moves to a more stable ongoing situation it must reach a point of equilibrium if it is to remain financially solvent. The objective is to control expenditures and keep them at the lowest level consistent with providing and maintaining quality services.

To ensure cost effectiveness of iCCM, planners should:
• Plan for a financial/cost analysis.
• Analyze program expenditures (i.e. cost of medicines and supplies, wages to CHWs).
• Monitor efficiency of expenditures and activities.
• Analyze program income.
• Identify and pursue donor funds.
• Identify ways to incorporate iCCM programming into existing government-funded program funding.
• Identify ways to incorporate iCCM programming into existing local or district-level programs funding.
• Identify and pursue local fundraising opportunities.
• Explore cost-recovery mechanisms such as income from charges to clients for services.


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