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Table 4 Estimated total and per participant costs of implementing and first year operations of a fixed and mobile syringe service program

From: Implementation and first-year operating costs of an academic medical center-based syringe services program

Cost category Fixed site (N = 452) Mobile site (N = 129)
Total costs Cost per participant Total costs Cost per participant
Implementation costs
Intervention material design $2876.50 $6.36 $981.50 $7.61
Administrative $16,133.32 $35.69 $12,141.68 $94.12
Staff training $2821.78 $6.24 $1304.81 $10.11
Staff uniforms $975.00 $2.16 $975.00 $7.56
Property allocation $204,000.00* $451.33* $14,200 $110.08
Facility and utilities $17,018.87 $37.65 $25,707.37 $199.28
Other utilities
 IT support for data collection $4085.00 $9.04 $4085.00 $31.67
 Phone purchase $249.99 $0.55 $249.99 $1.94
Equipment
 Computers $4116.00 $9.11 $2058.00 $15.95
iPads for data collection $2388.00 $5.28 $2388.00 $18.51
Furniture $1330.00 $2.94
Clerical supplies $39.00 $0.09 $27.00 $0.21
Sharp containers (disposal) $99.50 $0.22 $99.50 $0.77
Total $52,132.96 $115.34 $66,709.89 $517.13
Variable program costs  
Intervention supplies
 Needles and syringes $1231.33 $2.72 $306.56 $2.38
 Cookers $3847.90 $8.51 $958.00 $7.43
 Cottons $128.26 $0.28 $31.93 $0.25
 Tourniquets $5156.19 $11.41 $2567.44 $19.90
 Crack pipe covers $2360.00 $5.22 $590.00 $4.57
 Condoms
 Sterile water $5894.98 $13.04 $1467.66 $11.38
 Alcohol swaps $969.67 $2.15 $241.42 $1.87
 Paper bags $246.29 $0.54 $54.82 $0.42
 Personal sharps containers $1756.84 $3.89 $716.43 $5.55
 Narcan $41,550.00 $91.92 $16,050.00 $124.04
Testing supplies     
 HIV testing (point-of-care) $2424.40 $5.36 $432.57 $3.35
 HCV testing (point-of-care) $3197.66 $7.07 $771.20 $5.98
 Lancets $65.76 $0.15 $13.44 $0.10
Total $68,829.28 $152.26 $24,201.47 $187.22
Time-dependent costs
Personnel time
 Participant enrollment $18,765.00 $41.52 $7067.75 $54.79
 Quarterly assessment $6255.00 $13.84 $2355.75 $18.26
 Daily exchanges $35,580.00 $78.72 $23,557.50 $182.62
 Outreach $20,850.00 $46.13 $14,134.50 $109.57
 Administrative $77,375.36 $171,18 $48,650.04 $377.13
Administrative opportunity costs $103,802.07 $229.65 $103,802.07 $804.67
Advertising $17,475.14 $38.66 $17,475.14 $135.47
Rental space $4036.80 $8.93
Phone rental $599.88 $1.33 $599.88 $4.65
 Wi-Fi hotspot $232.80 $1.80
Refreshments $321.73 $0.71 $321.73 $2.49
Sharps containers (disposal) $1194.00 $2.64 $597.00 $4.63
Vehicle-related expenses
 Generator maintenance $500.00 $3.88
 Engine maintenance $460.00 $3.57
 Gas $960.00 $7.44
 Vehicle insurance $2492.04 $19.32
Total $286,254.98 $462.13 $223,206.20 $1730.29
Societal costs     
Intervention participants $65,470.09 $144.84
Total program costs $407,217.22 $729.72 $311,625.52 $2415.70
Total societal costs $65,470.09 $144.84
  1. *Cost not included in the calculation of total healthcare perspective costs