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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
  1. a This could include pre-PAC counseling, consultation with a nurse or doctor, ultrasound, evacuation of the uterus, medication, hospitalization (including food costs), other supplies and any other component of care
  2. b This most often included food, but may have also included sonography results, medications, and other item