Bøger af Charles Olaro

Arua Regional Referral Hospital has been faced with the increased cost of health care inputs. However, there was a knowledge gap of actual costs and budget needed to provide quality health care services in the hospital. The primary rationale of this study was to determine the costs of providing health services in the financial year 2005/ 2006 in ARRH. The cost analysis information would provide a basis for management, decision-making, budgeting, planning, advocacy for increased funding, improved efficiency and monitoring. This was a descriptive cost analysis a provider¿s perspective that included Step-down cost accounting and Micro-costing methodologies. It was done in Arua Regional Referral Hospital and covered the financial year 2005/ 2006. Data were collected by review of records, observations, and interviews. The total cost of ARRH health services amounted to Ushs. 5.4 billion inclusive of ARVs costs. The recurrent budget represented less than 50 % of the total cost. The major cost drivers of total hospital cost were personnel and medicines accounting for 76 % of the total hospital operational cost.

The present research revealed that with the exception of Humanity of care, the rest of the service delivery standards determine directly a client's satisfaction, clearly and significantly influencing the general level of satisfaction derived from the health facilities. The points of client dissatisfaction being influenced by time taken by clients to move from home to health facilities, means of transport used to move from home to health facility; the cost of hire of transport also affecte this index, payment for the services, waiting time for services, level of health care that was received (whether good/satisfactory). Physical and environmental facilities were visually appealing, the procedure of receiving care was well communicated, adequate information on where to receive a specific service was provided and there are labels at the different points in the different departments of the health facility. All the above was significant with a p-value less than 0.005. The overall satisfaction was at 87.6% which is commendable for public institutions which are often being criticized for poor performance.