Calculating service use at a district and regional level

Kovin Naidoo

ICEE Africa Director

Vice President AFCO

WHY?

• To improve services

• To make maximum use of existing services

• To provide the best quality of services

• To report progress to funding agencies etc

Measures of Importance

• Output (quantity)

• Outcome (quality)

• Outlay (cost)

Output (quantity)

• Is there a waiting list?

• Refraction Provision Rate

• Spectacle Provision Rate

• Spectacle Coverage

• Efficiency of the lab

Is there a waiting list?

• How many?

• Waiting period.

Refraction Provision Rate

• Refractions per year

• Target population

Spectacle Provision Rate

• Spectacles dispensed per year

Target Population

Spectacle coverage

• Pxs with specs X 100

• Pxs with specs + those needing specs

Outcome(Quality)

• Monitor:

-Visual Acuity outcomes

-Disease detected/referrals

-Patient Satisfaction

-Number of complains

-Spectacle returns/remake

Lab Efficiency

• Number of spectacle jobs per day

• Waiting period for spectacles from time of order

Outlay(Cost)

Outlay(Cost)

• Cost Containment

• Cost recovery

• Income generation

True cost of program

• Personnel: time and cost of full and part-time

• Spectacles

• Cases

• Travel

• Office Supplies

• Infrastructure costs

Management of Process

• Critical

• Formal structure for monitoring

• Thank You

Exercise

For planning purposes, select a defined population of approximately 1 million. Complete the boxes below and use the data to calculate RPR, SPR, SC

Children 0-10 Children 11-15 Adults >16 Adults >40

% of population

Number in population

% refractive errors

Number with refractive errors

Of those with refractive errors, number of visits per year

Number of spectacles bought per year

Average income generated pa @ ….N per pair