Table 1 Capacity, resource utilization, and provider cost
From: Cataract surgery in Southern Ethiopia: distribution, rates and determinants of service provision
Zones and eye units | Population in millions | Surgeons | CSR | Surgery cases (2010) | Eye unit annual capacity and surgeon utilization | Cost/operation in USD | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Surgeons | Surgeries/surgeon | Capacity | (Surgeon utilization) | Fixed | Variable | Total | ||||||
A. Hawassa town | 0.28 | 5Ŧ | - | 526 | ||||||||
Eye unit 1 (Tertiary) | 777* | 3 | 259 | 2400 | (32.4%) | 31.7 | 30.8 | 62.5 | ||||
Eye unit 2 (Private) | 200 | 1 | 200 | 800 | (25.0%) | 53.3 | 30.4 | 83.7 | ||||
B. Zone 1 | 1.74 | 3 | 334 | 582 | ||||||||
Eye unit 3 | 472 | 2 | 236 | 1600 | (29.5%) | 156.3 | 30.3 | 186.6 | ||||
Eye unit 4 | 110 | 1 | 110 | 800 | (13.8%) | 186.9 | 49.0 | 235.9 | ||||
C. Zone 2 | 1.67 | 2 | 609 | 1017 | ||||||||
Eye unit 3 | 703 | 1 | 703 | 800 | (87.9%) | 34.6 | 20.5 | 55.1 | ||||
Eye unit 6 | 60 | 1† | 60 | 267 | (22.5%) | 289.8 | 22.8 | 312.6 | ||||
Eye unit 7 | 254 | 0 | - | - | - | - | - | - | ||||
D. Zone 3 | 0.74 | 1 | 732 | 542 | ||||||||
Eye unit 8 | 107 | 1† | 107 | 267 | (40.1%) | 204.9 | 23.9 | 228.8 | ||||
Eye unit 9 (NGO) | 435 | 0 | - | - | - | 22.7 | 30.5 | 53.2 | ||||
E. Zone 4 | 1.4 | 4 | 1349 | 1889 | ||||||||
Eye unit 10 (NGO) | 1835 | 2 | 918 | 1600 | (114.8%) | 7.2 | 30.4 | 37.6 | ||||
Eye unit 11 | 54 | 1† | 54 | 267 | (20.2%) | 256.3 | 36.2 | 292.5 | ||||
Eye Unit 12 | 0 | 1† | 0 | 267 | (0.0%) | - | - | - | ||||
F. Zone 5 | 3.23 | 3 | 435 | 1404 | ||||||||
Eye unit 13 | 1308 | 3† | 436 | 1867 | (70.1%) | 12.5 | 30.2 | 42.7 | ||||
Eye unit 14 (NGO) | 96 | 0 | - | - | - | 82.8 | 25.5 | 108.3 | ||||
G. Zone 6 | 0.63 | 0 | 381 | 240 | ||||||||
Eye unit 15 | 240‡ | 0 | - | - | - | - | - | - | ||||
H. Zone 7 | 1.35 | 0 | 0 | 0 | ||||||||
Eye Unit 16 | 0 | 0 | - | - | - | - | - | - | ||||
I. Zone 8 | 0.96 | 0 | 204 | 196 | - | - | - | - | - | - | ||
J. District 1 | 0.25 | 0 | 1020 | 255 | - | - | - | - | - | - | ||
K. 5 Zones and 7 districts | 4.15 | 0 | 0 | 0 | 0 | - | - | - | - | - | - | |
- Variable cost: consumables, medication, IOL, food, incentives & equipment with <100 US$ cost. Fixed cost: salaries of personnel involved, equipment with >100US$ cost) & utilities.
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Provide service to people from other zones, CSR includes surgery on people from outside this district. *451 surgeries are performed in Zone 8 and District 1 in outreach program† 5 surgeons only worked for 4 months in 2010 in the eye unit; therefore, 267 operations per surgeon were taken as maximum operation that can be performed within 4 months under favorable conditions. Ŧ including one surgeon not in eye care practice. ‡ 494 surgeries were performed by external surgeons in “campaigns”. These are excluded from capacity and cost analysis. (800 Cataract operations/surgeon are used as maximum capacity).