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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Fees and Income-Tier Pricing

The fee schedule is public, income-adjusted, and constitutionally protected. It cannot be changed without 6 months notice, ADC review, and a Board majority vote.


Annual Registration Fees

World Bank Income Tier Example Countries Annual Registration
High Income France, Germany, USA, UK €800 / year
Upper Middle Income Georgia, Turkey, Brazil, China €300 / year
Lower Middle Income Nigeria, Pakistan, Bolivia, Ukraine €120 / year
Low Income Mali, Chad, Afghanistan, Ethiopia €40 / year
Non-Profit (any income tier) Verified NGO or non-profit in any country €50 administrative fee

What the Registration Fee Covers

  • Facility portal access and permanent data storage
  • ASF administrative review of quarterly submissions
  • ADC review and formal decision
  • Certificate and digital badge
  • Public registry listing
  • QR verification code

What the Fee Does Not Cover

  • Coordinator training (published separately per facility type and per module)
  • Monitor engagement (market rate agreed directly between facility and Monitor)
  • Annual supervision visit (supervisor fee published separately)

Three-Layer Total Cost — Full Disclosure

ASF is the only accreditation body that publishes the complete three-layer cost estimate for a representative facility at each income tier. This is a constitutional commitment — not a marketing choice.

Layer Component Who sets it
Layer 1 — Direct fees Annual registration + supervisor visit ASF — published
Layer 2 — Indirect costs Coordinator training + Monitor engagement ASF Academy (training) + market (Monitor day rate)
Layer 3 — Opportunity costs Staff time for quarterly administration Estimated and published per facility type

Full three-layer estimates by facility type and income tier are published at france-asf.fr/about/transparency/three-layer-cost/

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