Table 2.
Sources of income and patient fees charged across eye departments by end of 2012
Government Aa | Government Bb | Mission A | Mission Bc | |
---|---|---|---|---|
Sources of income (TZS) | ||||
Governmentd | Unknown | 17,180,000 | 7,900,000 | 0 |
Eye health donors | 0 | 15,200,000 | 20,000,000 | 30,900,000 |
Patient fees | 0 | 18,480,000 | 21,700,000 | 118,800,000 |
Total | Unknown | 50,860,000 | 49,600,000 | 149,700,000 |
Patient fees charged for surgery | 50,000 | 40,000 | 130,000 | 150,000 |
aFinancial contributions could not be estimated by the cataract surgeon who did not participate in financial planning for the eye department in 2012. Income generation from eye surgeries began in 2013, so the 2013 patient fee value has been reported; patients also paid around TZS 4000 out of pocket on surgical consumables they were asked to provide privately
bThis was the only hospital in the case study which sold spectacles (at TZS 20,000 per pair); this income has not been included in the analysis, for comparative purposes
cDisbursement of donor funding in Mission Hospital B was severely delayed in 2012; in response, patient fees were increased that year from 80,000 to 150,000. In Mission Hospital A, fees were also increased that year from 85,000 to 130,000 in response to rising hospital costs
dAn unknown, small proportion of income classified as ‘government’ comes from patient fees using general hospital services
TZS, Tanzanian Shilling