Table 2.
Hospital-level
| No. | Health care service type description / reimbursement categories | Referral hospital, level 1 | Referral hospital, level 2 | Referral hospital, level 3 | National hospital/ national center | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEF (a) | NSSF (b) | GIZ costing (c) | HEF | NSSF | GIZ costing | HEF | NSSF | GIZ costing | HEF | NSSF | GIZ costing | HEF | NSSF | |
| Outpatient Services | ||||||||||||||
| 1 | Outpatient checkup and consultation (including small surgical cases that refer to suturing, wound dressing, excision....) | Outpatient consultations | Outpatient / patient | 10,000 | 12,000 | 33,500 | 16,000 | 16,000* | 31,000 | 32,000 | 24,000 | 100,000 | 40,000 | 60,000 |
| Non-hospitalized minor surgical procedures | 20,000 | 40,000 | 40,000 | 100,000 | ||||||||||
| Short-acting birth control | 10,000 | |||||||||||||
| 2 | Contraceptive method using IUD or Implant | Non-hospitalized minor surgical activities | 20,000 | 20,000 | 20,000 | 40,000 | 20,000 | 40,000 | 20,000 | 100,000 | ||||
| 3 | Permanent methods (Vasectomy and tubal ligation) | Surgery per inpatient day | 128,000 | 100,000 | 123,000 | 100,000 | 400,000 | 163,000 | 100,000 | 600,000 | ||||
| Inpatient care | ||||||||||||||
| 4 | Inpatient treatments | Adult general medicine (hospitalization) | General medicine per inpatient day | 80,000 | 100,000 | 130,000 | 100,000 | 120,000 | 118,000 | 120,000 | 160,000 | 167,000 | 140,000 | 400,000 |
| Hospitalization for gynecology | Per inpatient day | 100,000 | 157,000 | 150,000 | 121,000 | 200,000 | 172,000 | 400,000 | ||||||
| Hospitalization for general child and pediatrics | Paediatrics per inpatient day | 92,000 | 122,000 | 108,000 | 123,000 | 128,000 | 150,000 | 350,000 | ||||||
| TB | TB inpatient day | 160,000 | 221,000 | 180,000 | 322,000 | 200,000 | 182,000 | 300,000 | ||||||
| Emergency, surgery, and delivery related services | ||||||||||||||
| 5 | Emergency services | Emergency | 250,000 | 120,000 | 250,000 | 240,000 | 300,000 | 320,000 | 320,000 | 800,000 | ||||
| 6 | Small surgeries | Moderate surgical activity | Surgery per inpatient day | 160,000 | 128,000 | 200,000 | 200,000 | 123,000 | 400,000 | 200,000 | 163,000 | 400,000 | 600,000 | |
| 7 | Major surgeries | Major surgical interventions | 320,000 | 400,000 | 1000,000 | 1000,000 | 1,200,000 | 1,500,000 | ||||||
| 8 | Birth delivery, abortion / miscarriage / post-abortion / miscarriage care | Delivery | Maternity per inpatient day | 80,000 | 100,000 | 249,000 | 80,000 | 120,000 | 126,000 | 80,000 | 160,000 | 173,000 | 80,000 | 400,000 |
| Miscarriage/abortion | 100,000 | 120,000 | 150,000 | 400,000 | ||||||||||