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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.
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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) • 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