The Faith Specialist Hospital (FSH) is a special government health facility under the Ghana Health Service (GHS) that provides specialized medical scans for complex health conditions. Management of FSH is planning to install an ultra-modern imaging machine that will improve the quality and accuracy of scans. The new installation will require an additional capital investment of GH¢420,000. The GHS policy on capital projects is that all new projects should achieve an internal rate of return of at least 30%.

Forecast demand for the services of this new machine over its five-year useful life are as follows:

Year Number of Scans
1 1,250
2 2,700
3 3,500
4 1,400
5 675

Projected charge per scan: GH¢650
Variable costs per scan:

  • Consumables: GH¢330
  • Labour and overheads: GH¢176

Operating fixed costs per year: GH¢264,000 (includes depreciation on a straight-line basis)

Apart from the financial forecasts above, it is also envisaged that the project will produce non-financial benefits in several forms. Although it is hard to place a precise value on this, expert opinion suggests that this could approximate GH¢70,000 per annum.

Required:

i) Using cost-benefit analysis (CBA) computations, evaluate if the project should be undertaken.

ii) Enumerate TWO limitations of evaluating projects in the public sector.

Computation of Net Cost/Benefit

Contribution per Scan:

GH¢
Charge per Scan 650
Less: Consumables (330)
Less: Labour and Overheads (176)
Contribution per Scan 144

Net Cashflows Computation

Year Sales Volume Contribution @ GH¢144/unit Fixed Costs (Cash) Net Cashflow Non-Cash Benefits Net Benefits
1 1,250 180,000 (180,000) 0 70,000 70,000
2 2,700 388,800 (180,000) 208,800 70,000 278,800
3 3,500 504,000 (180,000) 324,000 70,000 394,000
4 1,400 201,600 (180,000) 21,600 70,000 91,600
5 675 97,200 (180,000) (82,800) 70,000 (12,800)

Present Value Calculation @ 30%

Year Net Benefits (GH¢) Discount Factor @ 30% Present Value (GH¢)
0 (420,000) 1.000 (420,000)
1 70,000 0.769 53,830
2 278,800 0.591 164,770.80
3 394,000 0.455 179,270
4 91,600 0.350 32,060
5 (12,800) 0.269 (3,443.20)
Total Present Value (NPV) 6,487.60

Conclusion: Since the NPV is positive (GH¢6,487.60), FSH should undertake the project.

ii) Limitations of Evaluating Public Sector Projects

  1. Difficulty in Quantifying Benefits – Many public sector projects provide social benefits that are not easily measurable in monetary terms.
  2. Unpredictable Flow of Funds – Public sector projects often face funding delays or budgetary constraints, which can affect project implementation.
  3. Uncertain Project Life Span – Some projects may have long-term or indefinite durations, making it difficult to determine useful life for evaluation.
  4. External Factors – Government policies, political changes, and economic conditions can impact project success and expected benefits.
online
Knowsia AI Assistant

Conversations

Knowsia AI Assistant