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

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

–

–