Table 1

Capacity, resource utilization, and provider cost
Zones and eye units Population in millions Surgeons CSR Surgery cases (2010) Eye unit annual capacity and surgeon utilization Cost/operation in USD
Surgeons Surgeries/surgeon Capacity (Surgeon utilization) Fixed Variable Total
A. Hawassa town 0.28 5Ŧ - 526
Eye unit 1 (Tertiary)ᵻ 777* 3 259 2400 (32.4%) 31.7 30.8 62.5
Eye unit 2 (Private)ᵻ 200 1 200 800 (25.0%) 53.3 30.4 83.7
B. Zone 1 1.74 3 334 582
Eye unit 3 472 2 236 1600 (29.5%) 156.3 30.3 186.6
Eye unit 4 110 1 110 800 (13.8%) 186.9 49.0 235.9
C. Zone 2 1.67 2 609 1017
Eye unit 3 703 1 703 800 (87.9%) 34.6 20.5 55.1
Eye unit 6 60 1 60 267 (22.5%) 289.8 22.8 312.6
Eye unit 7 254 0 - - - - - -
D. Zone 3 0.74 1 732 542
Eye unit 8 107 1 107 267 (40.1%) 204.9 23.9 228.8
Eye unit 9 (NGO) 435 0 - - - 22.7 30.5 53.2
E. Zone 4 1.4 4 1349 1889
Eye unit 10 (NGO) 1835 2 918 1600 (114.8%) 7.2 30.4 37.6
Eye unit 11 54 1 54 267 (20.2%) 256.3 36.2 292.5
Eye Unit 12 0 1 0 267 (0.0%) - - -
F. Zone 5 3.23 3 435 1404
Eye unit 13 1308 3 436 1867 (70.1%) 12.5 30.2 42.7
Eye unit 14 (NGO) 96 0 - - - 82.8 25.5 108.3
G. Zone 6 0.63 0 381 240
Eye unit 15 240 0 - - - - - -
H. Zone 7 1.35 0 0 0
Eye Unit 16 0 0 - - - - - -
I. Zone 8 0.96 0 204 196 - - - - - -
J. District 1 0.25 0 1020 255 - - - - - -
K. 5 Zones and 7 districts 4.15 0 0 0 0 - - - - - -

Variable cost: consumables, medication, IOL, food, incentives & equipment with <100 US$ cost. Fixed cost: salaries of personnel involved, equipment with >100US$ cost) & utilities.

ᵻ Provide service to people from other zones, CSR includes surgery on people from outside this district. *451 surgeries are performed in Zone 8 and District 1 in outreach program† 5 surgeons only worked for 4 months in 2010 in the eye unit; therefore, 267 operations per surgeon were taken as maximum operation that can be performed within 4 months under favorable conditions. Ŧ including one surgeon not in eye care practice. ‡ 494 surgeries were performed by external surgeons in “campaigns”. These are excluded from capacity and cost analysis. (800 Cataract operations/surgeon are used as maximum capacity).

Habtamu et al.

Habtamu et al. BMC Health Services Research 2013 13:480   doi:10.1186/1472-6963-13-480

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