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Table 4 Costs of Ambulance Referrals Per Hospital

From: Surgical ambulance referrals in sub-Saharan Africa – financial costs and coping strategies at district hospitals in Tanzania, Malawi and Zambia

Country

DH

Cost per trip (I$)

Total annual costs of all referrals (I$)

Disaggregation into proportions of cost components (fuel: allowances: maintenance)

Surgical proportion of all referrals (%)

Annual costs of surgical referrals (I$)

Costs of surgical referrals expressed relative to total annual operational expenditure (%)

Tanzania

Meru

19

11,940

92: 0: 8

53a

6328

1

Oltrumet

41

2128

28: 16: 56

53a

1128

0.52

Longido

76

7873

86: 0: 14

54

4252

3

Same

121

46,640

64: 32: 8

60

27,984

7

HAI

29

12,281

78: 0: 22

44

5404

1

Huruma

208

56,231

49: 29: 21

53a

29,802

3

Kilema

46

5759

58: 20: 22

53a

10,221

0.6

Malawi

Mulanje

91

33,122

74: 1: 25

48

15,845

4% b

Nsanje

320

57,594

74: 16: 11

55

31,570

6% b

Mwanza

153

36,638

88: 0: 12

39

14,187

4% b

Zambia

Namwala

538

27,448

42: 36: 22

74

20,312

17 c

Zimba

116

28,759

69: 0: 31

68

19,556

27c

Siavonga

534

13,870

45: 13: 42

79

10,898

14c

Nangoma

273

35,767

46: 47: 7

69

24,680

25c

  1. aObtained by taking the average of Longido, Same and Hai data; bExpressed relative to planned expenditure (budget); cExpressed relative to annual government grants; DH District Hospital