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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%
  1. Admin. administrative
  2. a Includes the five major complication types. Within facility type and ownership categories, the costs are weighted by the proportion of inpatients and outpatients as well as the prevalence of complications. Women can have more than one complication type
  3. b Indirect costs are considered constant across all patients in a facility