Table 7 Facilities charging patients for PAC, fees per patient, and additional PAC supply costs (USD 2018)
From: The health system costs of post abortion care in Tanzania
Facility Level | Ownership | |||||||
|---|---|---|---|---|---|---|---|---|
National Hospital | Regional Hospital | District/ Cottage Hospital | Health Center/ PHCU+ | Dispensary/ PHCU | Public | Private | All facilities | |
(n = 1) | (n = 2) | (n = 4) | (n = 16) | (n = 17) | (n = 35) | (n = 5) | (n = 40) | |
Proportion of facilities that charge any patient for … | ||||||||
Inpatient services | 100% | 100% | 50% | 56% | na | 34% | 40% | 35% |
Outpatient services | na | 100% | 75% | 75% | 88% | 77% | 100% | 80% |
PAC services | 100% | 100% | 50% | 38% | 47% | 40% | 100% | 48% |
Family planning services | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% |
PAC service fees | ||||||||
Proportion of PAC patients expected to pay fees for any part of carea | 100% | 100% | 38% | 34% | 47% | 38% | 90% | 45% |
If expected to pay, average total fee per patient | 107.68 | 15.07 | 4.74 | 5.31 | 11.27 | 13.39 | 17.23 | 14.52 |
Average fee per any PAC patient | 107.68 | 15.07 | 2.37 | 1.99 | 3.98 | 4.59 | 17.23 | 6.16 |
Total annual fees charged to all PAC patients | 22,720 | 14,840 | 1059 | 1949 | 2505 | 40,249 | 2823 | 43,073 |
PAC supplies | ||||||||
Proportion of facilities where PAC patients need to bring own suppliesb | 100% | 50% | 50% | 56% | 35% | 43% | 80% | 48% |
Proportion of PAC patients expected to contribute supplies | 78% | 39% | 40% | 45% | 22% | 30% | 76% | 35% |
If expected to contribute, average estimated amount spent | 1.42 | 1.42 | 1.57 | 1.44 | 1.11 | 1.19 | 1.94 | 1.35 |
Average estimated spending on PAC supplies by any patient | 1.42 | 0.71 | 0.79 | 0.81 | 0.39 | 0.51 | 1.55 | 0.64 |
Total annual spending on PAC supplies by all patients | 300 | 636 | 479 | 610 | 140 | 1858 | 307 | 2165 |
PAC fees + supplies | ||||||||
Average expenses (fees + supplies) incurred per patient | 109.10 | 15.79 | 3.16 | 2.80 | 4.37 | 5.10 | 18.78 | 6.81 |
Annual total expenses (fees + supplies) incurred by patients | 23,020 | 11,225 | 538 | 1694 | 1503 | 35,215 | 2764 | 37,979 |