TAILIEUCHUNG - COST ANALYSIS OF REPRODUCTIVE HEALTH SERVICES IN PCEA CHOGORIA HOSPITAL, KENYA

There is a theoretical concern that women with a short menstrual cycle may ovulate very early in their cycle, putting them at risk of pregnancy if starting contraception as late as Day 5 or Day 7 (LNG-IUS). There is no strong evidence to support or refute the risk but some sources of patient information (. FPA) advise additional contraception for women in this situation if they have a cycle shorter than 23 days. Faculty guidance on postnatal sexual and reproductive health includes recommendations on starting contraceptive methods after Advice on starting methods after miscarriage or abortion and on switching from one contraceptive method to another can. | COST ANALYSIS OF REPRODUCTIVE HEALTH SERVICES IN PCEA CHOGORIA HOSPITAL KENYA Nzoya Munguti Moses Mokua Rick Homan Harriet Birungi FRONTIERS Population Council Nairobi Kenya PCEA Chogoria Hospital Chogoria Kenya Family Health International North Carolina USA June 2006 This study was funded by the . AGENCY FOR INTERNATIONAL DEVELOPMENT USAID under the terms of Cooperative Agreement Number HRN-A-00-98-00012-00 and Population Council subaward . The opinions expressed herein are those of the authors and do not necessarily reflect the views of USAID. SUMMARY Background Presbyterian Church of East Africa PCEA Chogoria Hospital is a faith based non-governmental organization providing a wide range of healthcare services. The organization faces a number of challenges related to sustainability declining donor support especially for reproductive health services low cost recovery levels and increasing poverty levels among its clientele. In response to these concerns a team from Chogoria Hospital attended a one-week workshop held in Ghana on financial sustainability and developed a small scale operations research project to determine the cost of providing a selected number of reproductive health RH services and to evaluate their cost recovery levels. The results of this assessment will guide the management in the setting of appropriate prices for RH services in the hospital. Methodology Data was collected on costs and prices as well as on revenues for maternity including normal delivery caesarean delivery and postabortion care and maternal child health specifically family planning antenatal care prevention of mother to child transmission PMTCT and voluntary counseling and testing VCT for HIV AIDS . Costs assessed for these services were categorized into fixed and variable. Fixed costs included labor time and capital buildings and equipment while variable costs included drugs and medications and supplies materials. Total average variable and fixed costs were computed

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