Table 4 Average direct, indirect and total costs per PAC patient by facility type, region, and complication type (USD 2018)
From: The health system costs of post abortion care in Tanzania
Facility type | Ownership | |||||||||||||||
National Hospital | Regional Hospital | District/ Cottage Hospital | Health Center/ PHCU+ | Dispensary/ PHCU | Public | Private | All Facilities | |||||||||
Any complicationa | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % |
Direct costs | ||||||||||||||||
Personnel | 8.03 | 16% | 13.19 | 19% | 9.44 | 15% | 2.51 | 6% | 1.16 | 3% | 3.62 | 9% | 1.03 | 3% | 3.30 | 8% |
Medical supplies | 39.73 | 79% | 53.80 | 78% | 44.75 | 71% | 33.01 | 79% | 28.19 | 85% | 33.64 | 80% | 31.26 | 79% | 33.35 | 80% |
Consumables | 17.12 | 19.53 | 24.42 | 16.23 | 12.03 | 15.41 | 15.74 | 15.45 | ||||||||
Equipment | 11.45 | 19.18 | 11.56 | 11.15 | 12.52 | 12.71 | 8.47 | 12.18 | ||||||||
Laboratory | 10.90 | 13.45 | 6.40 | 5.05 | 2.72 | 4.65 | 5.52 | 4.76 | ||||||||
Medications | 0.26 | 1.64 | 2.38 | 0.59 | 0.93 | 0.88 | 1.52 | 0.96 | ||||||||
Total direct | 47.76 | 95% | 66.99 | 97% | 54.19 | 86% | 35.52 | 85% | 29.35 | 88% | 37.27 | 88% | 32.28 | 82% | 36.64 | 88% |
Indirect costs | ||||||||||||||||
Capital | 0.39 | 1% | 0.09 | 0% | 0.80 | 1% | 1.34 | 3% | 0.44 | 1% | 0.77 | 2% | 1.13 | 3% | 0.82 | 2% |
Overhead | 0.39 | 1% | 0.80 | 1% | 2.73 | 4% | 1.53 | 4% | 1.10 | 3% | 1.31 | 3% | 2.08 | 5% | 1.40 | 3% |
Adm. staff | 1.91 | 4% | 1.50 | 2% | 5.15 | 8% | 3.15 | 8% | 2.43 | 7% | 2.80 | 7% | 3.83 | 10% | 2.93 | 7% |
Total indirect | 2.69 | 5% | 2.39 | 3% | 8.68 | 14% | 6.03 | 15% | 3.97 | 12% | 4.88 | 12% | 7.04 | 18% | 5.15 | 12% |
Total costs | 50.45 | 100% | 69.38 | 100% | 62.87 | 100% | 41.54 | 100% | 33.32 | 100% | 42.15 | 100% | 39.32 | 100% | 41.80 | 100% |
Complication type | Region | |||||||||||||||
Incomplete abortion | Sepsis | Shock | Lacerations | Perforations | Dar es Salaam | Other regions | Zanzibar | |||||||||
Any facility/ region | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % | $ | % |
Direct costs | ||||||||||||||||
Personnel | 2.52 | 6% | 5.05 | 13% | 5.38 | 16% | 3.29 | 15% | 10.29 | 32% | 4.85 | 11% | 2.45 | 6% | 3.47 | 7% |
Medical supplies | 31.88 | 81% | 27.52 | 73% | 23.49 | 69% | 13.45 | 61% | 16.38 | 51% | 33.80 | 79% | 32.62 | 81% | 35.58 | 77% |
Consumables | 14.26 | 14.31 | 12.79 | 8.30 | 9.37 | 15.28 | 15.48 | 15.73 | ||||||||
Equipment | 12.50 | 7.35 | 4.80 | 1.96 | 2.34 | 11.36 | 11.70 | 16.37 | ||||||||
Laboratory | 4.25 | 4.76 | 4.86 | 2.69 | 2.37 | 6.67 | 4.23 | 2.60 | ||||||||
Medications | 0.88 | 1.11 | 1.04 | 0.49 | 2.30 | 0.49 | 1.22 | 0.88 | ||||||||
Total direct | 34.40 | 87% | 32.58 | 86% | 28.87 | 85% | 16.74 | 76% | 26.67 | 84% | 38.65 | 91% | 35.08 | 87% | 39.05 | 84% |
Indirect costsb | ||||||||||||||||
Capital | 0.82 | 2% | 0.82 | 2% | 0.82 | 2% | 0.82 | 4% | 0.82 | 3% | 0.58 | 1% | 0.74 | 2% | 1.74 | 4% |
Overhead | 1.40 | 4% | 1.40 | 4% | 1.40 | 4% | 1.40 | 6% | 1.40 | 4% | 1.09 | 3% | 1.44 | 4% | 1.97 | 4% |
Adm. staff | 2.93 | 7% | 2.93 | 8% | 2.93 | 9% | 2.93 | 13% | 2.93 | 9% | 2.24 | 5% | 3.12 | 8% | 3.72 | 8% |
Total indirect | 5.15 | 13% | 5.15 | 14% | 5.15 | 15% | 5.15 | 24% | 5.15 | 16% | 3.91 | 9% | 5.31 | 13% | 7.43 | 16% |
Total costs | 39.55 | 100% | 37.73 | 100% | 34.03 | 100% | 21.89 | 100% | 31.83 | 100% | 42.56 | 100% | 40.38 | 100% | 46.47 | 100% |