Table 1.
Capacity, resource utilization, and provider cost
| Zones and eye units | Population in millions | Surgeons | CSR | Surgery cases (2010) |
Eye unit annual capacity and surgeon utilization |
Cost/operation in USD |
||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Surgeons | Surgeries/surgeon | Capacity | (Surgeon utilization) | Fixed | Variable | Total | ||||||
| A. Hawassa town |
0.28 |
5Ŧ |
- |
526 |
|
|
|
|
|
|
|
|
| |
Eye unit 1 (Tertiary)ᵻ |
|
|
|
777* |
3 |
259 |
2400 |
(32.4%) |
31.7 |
30.8 |
62.5 |
| |
Eye unit 2 (Private)ᵻ |
|
|
|
200 |
1 |
200 |
800 |
(25.0%) |
53.3 |
30.4 |
83.7 |
| B. Zone 1 |
1.74 |
3 |
334 |
582 |
|
|
|
|
|
|
|
|
| |
Eye unit 3 |
|
|
|
472 |
2 |
236 |
1600 |
(29.5%) |
156.3 |
30.3 |
186.6 |
| |
Eye unit 4 |
|
|
|
110 |
1 |
110 |
800 |
(13.8%) |
186.9 |
49.0 |
235.9 |
| C. Zone 2 |
1.67 |
2 |
609 |
1017 |
|
|
|
|
|
|
|
|
| |
Eye unit 3 |
|
|
|
703 |
1 |
703 |
800 |
(87.9%) |
34.6 |
20.5 |
55.1 |
| |
Eye unit 6 |
|
|
|
60 |
1† |
60 |
267 |
(22.5%) |
289.8 |
22.8 |
312.6 |
| |
Eye unit 7 |
|
|
|
254 |
0 |
- |
- |
- |
- |
- |
- |
| D. Zone 3 |
0.74 |
1 |
732 |
542 |
|
|
|
|
|
|
|
|
| |
Eye unit 8 |
|
|
|
107 |
1† |
107 |
267 |
(40.1%) |
204.9 |
23.9 |
228.8 |
| |
Eye unit 9 (NGO) |
|
|
|
435 |
0 |
- |
- |
- |
22.7 |
30.5 |
53.2 |
| E. Zone 4 |
1.4 |
4 |
1349 |
1889 |
|
|
|
|
|
|
|
|
| |
Eye unit 10 (NGO) |
|
|
|
1835 |
2 |
918 |
1600 |
(114.8%) |
7.2 |
30.4 |
37.6 |
| |
Eye unit 11 |
|
|
|
54 |
1† |
54 |
267 |
(20.2%) |
256.3 |
36.2 |
292.5 |
| |
Eye Unit 12 |
|
|
|
0 |
1† |
0 |
267 |
(0.0%) |
- |
- |
- |
| F. Zone 5 |
3.23 |
3 |
435 |
1404 |
|
|
|
|
|
|
|
|
| |
Eye unit 13 |
|
|
|
1308 |
3† |
436 |
1867 |
(70.1%) |
12.5 |
30.2 |
42.7 |
| |
Eye unit 14 (NGO) |
|
|
|
96 |
0 |
- |
- |
- |
82.8 |
25.5 |
108.3 |
| G. Zone 6 |
0.63 |
0 |
381 |
240 |
|
|
|
|
|
|
|
|
| |
Eye unit 15 |
|
|
|
240‡ |
0 |
- |
- |
- |
- |
- |
- |
| H. Zone 7 |
1.35 |
0 |
0 |
0 |
|
|
|
|
|
|
|
|
| |
Eye Unit 16 |
|
|
|
0 |
0 |
- |
- |
- |
- |
- |
- |
| I. Zone 8 |
0.96 |
0 |
204 |
196 |
|
- |
- |
- |
- |
- |
- |
|
| J. District 1 |
0.25 |
0 |
1020 |
255 |
|
- |
- |
- |
- |
- |
- |
|
| K. 5 Zones and 7 districts | 4.15 | 0 | 0 | 0 | 0 | - | - | - | - | - | - | |
Variable cost: consumables, medication, IOL, food, incentives & equipment with <100 US$ cost. Fixed cost: salaries of personnel involved, equipment with >100US$ cost) & utilities.
ᵻ Provide service to people from other zones, CSR includes surgery on people from outside this district. *451 surgeries are performed in Zone 8 and District 1 in outreach program† 5 surgeons only worked for 4 months in 2010 in the eye unit; therefore, 267 operations per surgeon were taken as maximum operation that can be performed within 4 months under favorable conditions. Ŧ including one surgeon not in eye care practice. ‡ 494 surgeries were performed by external surgeons in “campaigns”. These are excluded from capacity and cost analysis. (800 Cataract operations/surgeon are used as maximum capacity).