As the son of two accountants, I can't help but be completely mystified
by the fee schedule and revenue sources for our hospital. Our monthly
budget is around $20,000/month, as I think I've mentioned before, which
is supposed to cover salaries, drugs, supplies, transport, etc. The
government, despite lack of funds to back up the policy, several years
back decided that health care should be free to the people. Referral
hospitals like Mukinge were still allowed to charge fees, but only for
specialty services/lab work etc. This, of course, cut into our funds a
bit. Below is a sample list of the current prices for people in the
hospital. Keep in mind that the conversion rate is around 4000 kwacha/1
US dollar.
Visit to outpatient clinic: 4000kw
Admission: free
Hospital stay/day up to 21 days: free
Minor/major surgery: free
Delivery: 5000kw
Family planning surgery: free
Dental extractions: free
Circumcisions: 10000kw
Police reports: 10000kw (we recently raised this price from 5000)
Requested ultrasound: 15000kw
Routine XR/US: 7500kw
HIV test: free
most lab work: 1000kw/test
Perhaps it is no surprise that with little private donation funding, 1/2
the government funding because we are a missions hospital, and limited
reimbursement on even these fees, we struggle at times to make ends
meet. Thanks again to all of you who have been so willing to help out.
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