Health Service Provision in Zambia: Assessing Facility Capacity, Costs of Care, and Patient Perspect

This report was prepared by the Institute for Health Metrics and Evaluation (IHME) in collaboration with the University of Zambia (UNZA). This work is intended to help policymakers understand the costs of health service delivery, facility-based characteristics of antiretroviral

therapy (ART) programs, and health facility performance in Zambia. The numbers may change

following peer review. The contents of this publication may not be reproduced in whole or in part without permission from IHME.

Citation: Institute for Health Metrics and Evaluation (IHME). Health Service Provision in Zambia: Assessing Facility Capacity, Costs of Care, and Patient Perspectives. Seattle, WA: IHME, 2014. Institute for Health Metrics and Evaluation 2301 Fifth Ave., Suite 600 Seattle, WA 98121 USA

Telephone: +1-206-897-2800 Fax: +1-206-897-2899

Email: comms@healthdata.org www.healthdata.org

ÂŠ 2014 Institute for Health Metrics and Evaluation Photo credit: Matthew Schneider, Child Health Week in Katete, Zambia, July 2010

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Health Service Provision in Zambia: Assessing Facility Capacity, Costs of Care, and Patient Perspect

Published on Oct 2, 2014Medicine

Institute for Health Metrics and Evaluation

This report draws from the Access, Bottlenecks, Costs, and Equity (ABCE) project in Zambia, a multi-pronged and multi-country research collaboration focused on understanding what drives and hinders health service provision. Results include the following: • Assessing the capacity of health facilities to provide services across different levels of care, such as physical infrastructure; human resources for health; and stocks of medicines and functional equipment • Comparing patient reports of their experiences at facilities, including wait time for care, interactions with providers, and expenses incurred during their visit • Tracking trends in patient volumes and spending across facility types • Quantifying the relationship between facility resources and production of services • Estimating facility costs associated with different types of services, with an expanded section on facility costs of HIV/AIDS care • Examining characteristics of facility-based antiretroviral therapy (ART) program