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Table 2 Annual service volume, including PAC complications seen, by facility level and ownership (2018)

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

  1. na Not applicable, MNH Maternal and newborn health, PAC postabortion care, PHCU Primary Health Care Unit, PHCU+ PHCU that offers additional services
  2. aAll facilities values are weighted based on representation of facility level categories in total sample
  3. bTotal can exceed 100% because women can have more than one complication type
  4. c Renal failure, peritonitis, heart failure, psychosis, etc.