equity implications of health sector user fees in tanzania
equity implications of health sector user fees in tanzania
equity implications of health sector user fees in tanzania
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PART 6 BACKGROUND INFORMATION TO CHAPTER 6<br />
User Fee Charges <strong>in</strong> Tanzania<br />
Table TP 7: User Fee Charges <strong>in</strong> Tanzania<br />
Type <strong>of</strong> service for <strong>user</strong> fee Description/<br />
Clarification<br />
Referral<br />
Hospital<br />
Regional<br />
Hospital<br />
District<br />
Hospit<br />
1. Consultation Grade I & II<br />
Grade III 1<br />
500/=<br />
300/=<br />
300/=<br />
200/=<br />
200/=<br />
150/=<br />
2. Drug for out-patient<br />
3. Medical exam<strong>in</strong>ation<br />
50/= 50/= 50/=<br />
(a) Students 500/= 500/= 500/=<br />
(b) Civil servants 1,500/= 1,500/= 1,500/=<br />
(c) Special exam<strong>in</strong>ation test 3,000/= 3,000/= 3,000/=<br />
(d) Workman's compensation 3,000/= 3,000/= 3,000/=<br />
(e) Medical board<br />
4. Gate toll<br />
10,000/= 10,000/= 10,000/<br />
=<br />
(a) Motor vehicles 100/= 100/= 100/=<br />
(h) Motor hikes 50/= 50/= 50/=<br />
(c) Bicycle<br />
5. Mortuary<br />
20/= 20/= 20/=<br />
(a) Post-mortem 1,000/= 1,000/= 1,000/=<br />
(b) Storage<br />
6. Admission (hospitalization)<br />
200/= 200/= 200/=<br />
Grade I Daily fee exclud<strong>in</strong>g food, drugs 2,000/= 1,500/= 1,000/=<br />
Grade II Laboratory services or other 1,000/= 750/= 500/=<br />
tests<br />
Grade III For the whole period <strong>of</strong><br />
admission <strong>in</strong>clud<strong>in</strong>g food, drugs<br />
and laboratory services or other<br />
tests<br />
7. Other services for grade I & II<br />
Laboratory & eye tests 1,000/= (average)<br />
Surgery:<br />
(a) General:<br />
Major 13,000/=<br />
M<strong>in</strong>or 3,000/=<br />
(b) Ophthalmology:<br />
Major 13,000/=<br />
M<strong>in</strong>or 2,000/=<br />
(c) ENT:<br />
Major 7,500/=<br />
M<strong>in</strong>or 1,500/=<br />
(d) Orthopedic/trauma:<br />
Major 15,000/=<br />
M<strong>in</strong>or 3,000/=<br />
(e) Neurosurgery:<br />
Major 40,000/=<br />
M<strong>in</strong>or 10,000/=<br />
(f) Urosurgery: Major 8,000/=<br />
Fee schedule start<strong>in</strong>g from December 1 - 1996 2<br />
Technical Paper 17<br />
al<br />
500/= 300/= 150/=<br />
1 Grades I and II refer to patients receiv<strong>in</strong>g extra attention <strong>in</strong> gett<strong>in</strong>g services, i.e. who are kept <strong>in</strong> self-conta<strong>in</strong>ed<br />
rooms, given special food services. Grade III refers to patients receiv<strong>in</strong>g ord<strong>in</strong>ary services. It should be noted that<br />
(theoretically) patients <strong>in</strong> all grades I to III receive the same quality <strong>of</strong> services <strong>in</strong> terms <strong>of</strong> disease management.<br />
The difference is largely <strong>in</strong> hotel services.<br />
2 The revised <strong>user</strong> fee schedule is based on the evaluation done by the MOH <strong>in</strong> early 1996 after two-and-a-half<br />
years <strong>of</strong> policy implementation).The evaluation was done to determ<strong>in</strong>e the state <strong>of</strong> cost-shar<strong>in</strong>g implementation,<br />
so as to f<strong>in</strong>d ways <strong>of</strong> improv<strong>in</strong>g the implementation process. Important also was the fact that the revision <strong>of</strong> <strong>user</strong><br />
<strong>fees</strong> <strong>in</strong> 1996 was done to make charg<strong>in</strong>g more specific to the type <strong>of</strong> services sought.
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