Table 1 Health Center-level
| Â | Health care service type description / reimbursement categories | Â | Payment rates | Estimated actual costs | ||
|---|---|---|---|---|---|---|
No. | HEF(a) | NSSF(b) | GIZ costing (c) | HEF | NSSF | GIZ costing |
| Â | General Outpatient | |||||
1 | General consultation on diseases or health issues of citizens of all ages related to reproductive health, infectious diseases, non-communicable diseases and other public health issues, as defined in the maximum package of activities for health centers. | MPA outpatient consultations: New and follow-up outpatient consultations at a health center. The consultation services include: interrogation, physical exam, medical education, counseling, consultation booklet, para-clinic services (malaria rapid test and TB smear), treatment and prescribed medicines, follow-up treatment of TB, DOTS, or leprosy. | Prevention contact | 4000 | 6000 | 27,000 |
OPD services patient contact | 14,000 | |||||
Per inpatient day | 14,500 | |||||
Chronic patients contact | 120,000 | |||||
MPA short-term birth control service | Â | 10,000 | ||||
Long-term contraceptive methods using IUD or Implant (IUD / Implant) | MPA long-term birth control | Â | 20,000 | 30,000 | Â | |
Screening for cervical cancer | Â | Â | 20,000 | Â | Â | |
| Â | Emergency (whether to refer or not) | |||||
2 | First Aid interventions for patients or victims who are at risk of life threatening with vital/danger signs; emergency acts include: Check, monitor and record regular life signs and treatment according to medical conditions as well as arrangements to refer to the referral hospital as necessary. | MPA emergency and referral or non-referral | OPD services patient contact | 20,000 | 20,000 | 14,000 |
Per inpatient day | 14,500 | |||||
MPA minor surgical activities | Â | 12,000 | ||||
3 | Delivery and abortion/miscarriage | MPA delivery | Maternity | 80,000 | 80,000 | 934,000 |
4 | Inpatient department (IPD) | Â | Â | 80,000* | Â | Â |