From: The health system costs of post abortion care in Tanzania
Facility Level | Ownership | All facilities | ||||||
---|---|---|---|---|---|---|---|---|
Study facilities | National Hospital | Regional Hospital | District/ Cottage Hospital | Health Center/ PHCU+ | Dispensary/ PHCU | Public | Private | |
(n = 1) | (n = 2) | (n = 4) | (n = 16) | (n = 17) | (n = 35) | (n = 5) | (n = 40) | |
Average number of patients seen per year for any condition | 459,627 | 246,388 | 44,091 | 20,293 | 10,239 | 44,928 | 11,006 | 40,688 |
Average number of PAC patients per year | 211 | 553 | 304 | 51 | 29 | 105 | 36 | 96 |
Average proportion of MNH patients that are PAC patients | 1.1% | 2.9% | 6.4% | 5.7% | 4.5% | 5.3% | 3.2% | 5.0% |
Average proportion of PAC patients managed as inpatients | 100% | 45% | 16% | 14% | na | 13% | 1% | 12% |
If admitted, average number of nights in hospital | 3.3 | 4.1 | 2.0 | 1.8 | na | 2.4 | 1.6 | 2.3 |
Average proportion of PAC patients with complication typea | ||||||||
Incomplete abortion | 56.0% | 91.1% | 85.3% | 95.7% | 90.4% | 90.3% | 97.3% | 91.2% |
Sepsis | 17.0% | 37.9% | 11.9% | 3.7% | 5.1% | 8.0% | 1.4% | 7.2% |
Shock | 11.0% | 17.7% | 11.5% | 1.3% | 4.7% | 5.3% | 1.4% | 4.8% |
Lacerations | 11.0% | 5.9% | 1.0% | 0.3% | 0.0% | 0.9% | 0.0% | 0.8% |
Perforations | 5.0% | 1.8% | 0.3% | 0.1% | 0.0% | 0.3% | 0.0% | 0.3% |
Number out of 1000 PAC patients with rare complicationsc | 0.00 | 7.00 | 0.00 | 0.60 | 0.00 | 0.62 | 0.00 | 0.59 |
Total PAC complications treated in last yearb | ||||||||
Incomplete abortion | 118.2 | 1025.6 | 1080.3 | 787.6 | 485.3 | 3321.9 | 175.1 | 3497.0 |
Sepsis | 35.9 | 446.2 | 204.0 | 40.5 | 10.7 | 734.8 | 2.5 | 737.3 |
Shock | 23.2 | 211.0 | 179.4 | 7.5 | 5.9 | 424.6 | 2.5 | 427.1 |
Lacerations | 23.2 | 69.3 | 21.3 | 4.4 | 0.0 | 118.3 | 0.0 | 118.3 |
Perforations | 10.6 | 20.3 | 6.3 | 1.7 | 0.0 | 38.9 | 0.0 | 38.9 |
Total number of women treated for any PAC complication | 211 | 1105 | 1215 | 821 | 498 | 3670 | 180 | 3850 |
Dar es Salaam | 211 | 658 | 709 | 206 | 317 | 1973 | 128 | 2101 |
Other mainland regions | na | 447 | 326 | 560 | 181 | 1462 | 52 | 1514 |
Zanzibar | na | na | 180 | 55 | na | 235 | na | 235 |
National level | ||||||||
Total number of women treated for any PAC complication annually | 6319 | 15,112 | 37,550 | 16,666 | 2167 | 50,109 | 27,705 | 77,814 |
Total number of women requiring but not accessing PAC | 9280 | 22,192 | 55,144 | 24,474 | 3182 | 73,586 | 40,686 | 114,272 |