equity implications of health sector user fees in tanzania

onded or acrylic Grade III 7,500/= 5,000/= 3,000/=
6. Admission fee
Grade I
Grade III
Paid daily food, laboratory
test and other tests fees
Grade III The fee charged once for
the whole period of
admission but excluding
drug, laboratory test and
other test fees
3,000/=
1,500/=
1,200/=
1,500/= 1,000/=
750/=
2,000/= 1,000/= 500/=
7. Surgery
Major operation: Any surgical
procedure under anesthesia
Grade I &II
15,000/= 10,000/= 5,000/=
Grade III
3,000/= 2,000/= 1,000/=
Minor operation: Any surgical
procedure under anesthesia
Grade I & II
3,000/= 2,000/= 1,000/=
Grade III
1,000/=
500/=
300/=
8. Normal delivery Grade I & II per day 1,000/= 500/= 300/=
9. Physiotherapy
10. Mortuary fee
Grade I & II only per day 500/= 300/=
(a) Post mortem 1,000/= 1,000/= 1,000/=
(b) Storage 500/= 200/= 200/=
11. Fees for foreigners Payments shall be by US
dollar or equivalent
Tanzanian Shillings
US$ US$ US$
(a) Consultation fee 20 20 20
(b) Appointment consultation 20 20 20
(c ) Admission fee: daily fee 30 30 30
(d) Investigation 10 10 10
(e) Special tests 50-200 50-200 50-200
(f) Major Operation 200-2,000 200-2,000 200-2,000
(g) Minor Operation 50 50 50
(h) Post-mortem 100 100 100
(i) Mortuary (storage) fee 30 30 30
Note/clarifications (Cost-sharing programme, 1999)
� Please read carefully, note the fee schedule indicated in the table and apply them accordingly.
� Poor people and other vulnerable groups should be exempted/waived user fees.
� Special hospitals should follow the fee schedule for district hospitals.
� Caesarian section for grade III shall be free.
� Mortuary fee:
o There shall be a grace period of three days for deaths occurred in the respective hospital. For
deaths that occurred somewhere else shall pay from the first day.
o There shall be a grace period of one day for a dead body brought for postmortem
� Patients referred to government hospital from private hospitals shall follow the fee schedule for grade I.
� The actual cost (prices) of drugs front the Medical Store Department that shall be used for calculating the
50% of drug fees. Revenue collections from drug fee shall be used to purchase drugs on basis of "drug
revolving fund”.
Technical Paper 19