Prime
Government sets charges for new Mulago women’s hospital
The new Mulago specialised Women and Neonatal hospital. PHOTO/FILE
What you need to know:
- The facility will decongest Mulago National Specialised hospital
- It will enable women with complicated reproductive health problems to be treated and reduce referrals abroad.
Kampala. Ugandans seeking medical attention from the new Mulago specialised Women and Neonatal hospital will part with Shs50,000 per visit in consultation fee and Shs13m for specialised treatment, the Health minister has said.
Dr Ruth Aceng in her statement to Parliament yesterday said the charges were arrived at after examining the costs of similar services within the country and where possible, a comparison with similar services abroad.
Dr Aceng said women seeking in-vitro fertilisation will pay Shs13m when the facility roles out its programme next month.
In-vitro fertilisation (IVF) is a medical procedure where an egg is fertilised by sperm in a test tube outside the body.
Classifications
“Services will be classified as standard, VIP and VVIP; clinical services offered to all patients at all levels irrespective of pay,” Dr Aceng said.
The difference, she said, will be in accommodation, patient welfare and other non-clinical support services.
She said the hospital requires a total of Shs41 billion to operationalise it.
The minister, however, emphasised that the hospital will offer free services from September 17 to October 9 as an independence gift to Ugandans. She said access will be limited to referral cases in all its operations.
“Patients accessing the services should be referred patients from our referral facilities except for those that are exclusively offered at Mulago Specialised women and neonatal hospital such as IVF, laparoscopic surgery,” Dr Aceng added. The facility is expected to reduce maternal mortalities which the ministry confessed remains high at 336/100,000 compared to the global rate of 216/100,000 live births.
Dr Aceng said the facility will decongest Mulago National Specialised hospital, enable women with complicated reproductive health problems to be treated and reduce referrals abroad.
The hospital, whose construction commenced in June 2015, has been completed at a cost of Shs95 billion.
It will offer specialised services such as reproductive medicine, advanced neonatal medical and surgical service, among others.
COSTING OF SERVICES AT MULAGO SPECIALISED WOMEN AND NEONATAL HOSPITAL | ||||||
LOCAL RATES | ||||||
|
| SERVICE | STANDARD (UGX) | AVERAGE MARKET RATES (UGX) | ||
| CONSULTATIONS |
|
|
| ||
A | OPD | |||||
|
| Consultation Fee- Per visit | 50,000 | 100,000 | ||
|
| Antenatal Package- (Max 8 Visits)-(includes (490,000) baseline lab tests, 1 3D/4D & 2 Ordinary ultra sounds, essential drugs for antenatal, immunisation, ) | 890,000 | 1,000,000 | ||
|
| Neonatal followup Per Visit/immunisation | 70,000 | 140,000 | ||
| INPATIENTS | |||||
|
| Accomodation per day(also includes Food, Utilities, Linen) | 80,000 | 220,000 | ||
|
| Nurses/Doctors Care | 100,000 | 105,000 | ||
|
| |||||
B | SURGERIES/PROCEDURES | |||||
|
| Pre anaesthetic review/assessment | 50,000 | 60,000 | ||
| URO GYNAECOLOGY | |||||
| MINOR PROCEDURES | |||||
| Band Incisions | 800,000 | 1,050,000 | |||
| Examination Under Anaesthesia | 800,000 | 1,050,000 | |||
| INTERMEDIATE PROCEDURES | |||||
| Colporraphy | 900,000 | 1,050,000 | |||
| Perineoraphy | 900,000 | 1,050,000 | |||
| MAJOR PROCEDURES | |||||
| Hsyterectomy(Hysterectomy , VVF Repair, TOT/TVT, Slinges, Uteropexis) | 2,500,000 | 5,000,000 | |||
| Complicated (Complete Fistula, Laparoscopy Implantation, Reconstruction, Augmentation, Diversion | 2,500,000 | 5,200,000 | |||
| \ | |||||
| GYN ONCOLOGY | |||||
|
| MINOR PROCEDURES | ||||
| Genetic Counselling | 150,000 | Not available | |||
|
| Cauterisation | 150,000 | 800,000 | ||
|
| Examination /Biopsy /Staging/Sampling | 150,000 | 1,050,000 | ||
|
| PAP Smear | 150,000 | 250,000 | ||
|
| Colposcopy | 150,000 | 450,000 | ||
|
| Cryotherapy | 150,000 | 450,000 | ||
|
| LEEP | 150,000 | 450,000 | ||
|
| |||||
|
| INTERMEDIATE PROCEDURES | ||||
| Diagnostic laparoscopy | 1,000,000 | 2,500,000 | |||
|
| Min lap diagnostic | 1,000,000 | 1,050,000 | ||
|
| Simple vulvectomy/cauterisation of warts | 1,500,000 | 4,200,000 | ||
|
| Total abdominal hysterectomy | 1,500,000 | 4,200,000 | ||
|
| Cold knife conization | 1,000,000 | 1,000,000 | ||
|
| |||||
|
| MAJOR PROCEDURES | ||||
| Therapeutic laparoscopy | 2,500,000 | 4,200,000 | |||
|
| Cyto-reduction | 2,500,000 | 4,200,000 | ||
|
| Colostomy/urinary diversion | 2,500,000 | 5,000,000 | ||
|
| Radical hysterectomy/LN dissection | 2,500,000 | 5,200,000 | ||
|
| Pelvic exenteration | 2,500,000 | 5,200,000 | ||
|
| Radical vulvectomy/LN dissection | 2,500,000 | 5,000,000 | ||
|
| Vaginectomy | 2,500,000 | 5,200,000 | ||
|
| Laser ablation | 2,500,000 | 5,000,000 | ||
|
| |||||
| BENIGN GYNAECOLOGY | |||||
| MINOR PROCEDURES | |||||
|
| Dilatation & Currettage | 250,000 | 1,000,000 | ||
|
| Evacuation | 250,000 | 630,000 | ||
|
| Marsupilisation | 250,000 | 840,000 | ||
|
| Perineal/vaginal procedures | 250,000 | 1,000,000 | ||
|
|
| ||||
|
| INTERMEDIATE PROCEDURES | ||||
|
| Laparotomies | 1,500,000 | 2,500,000 | ||
|
| Secondary closures | 500,000 | 2,500,000 | ||
|
| Hysteroscopy | 1,500,000 | 2,500,000 | ||
|
| Laparoscopy | 1,500,000 | 2,500,000 | ||
|
| |||||
|
| MAJOR PROCEDURES | ||||
|
| Abdominal surgery | 2,500,000 | 4,200,000 | ||
|
| Total abdominal hysterectomy | 2,500,000 | 4,200,000 | ||
| ||||||
| MATERNAL FETAL MEDICINE | |||||
| SVD (Normal Delivery) | 800,000 | 1,890,000 | |||
| Caesarean Section(Tubal ligation Additional 200,000/=) | 2,000,000 | 2,300,000 | |||
| Cervical Cerclage | 250,000 | 1,050,000 | |||
| Labour with Analgesia | 1,600,000 | 1,680,000 | |||
| ||||||
C | NEONATAL SERVICES | |||||
| Neonatal Intensive Care Unit (Ventilation (per day), Continuous Positive Airway Pressure ventilation (per day), Free flow oxygen (per day), Warmth for Preterm baby, Incubator (per day), Radiant Warmer (per day), Monitoring of baby, Phototherapy, Infusions, Syringe pump, Infusion pump and Procedures, Total Parenteral Nutrition) depending on the level of care | |||||
|
| Level 1 (Free flow air) | 300,000 | |||
|
| Level 2 (C-PAP) | 700,000 | 930,000 | ||
|
| Level 3 (Ventilation) | 1,000,000 | 2,000,000 | ||
|
| |||||
| Neonatal Surgery | |||||
|
| Intestinal Atresia | 3,500,000 | |||
|
| Malrotation | 4,000,000 | |||
|
| Colostomy | 2,000,000 | |||
|
| Gastroschisis repair | 3,500,000 | |||
|
| Tracheo-Oesophageal Fistula Repair | 4,500,000 | |||
|
| Congenital Diaphragmatic Hernia | 4,500,000 | |||
|
| Sacro-Coccygeal Teratoma excision | 3,000,000 | |||
|
| Neonatal Herniotomy Bilateral | 2,000,000 | |||
|
| Neonatal Herniotomy Unilateral | 1,500,000 | |||
D | Adult Critical Care (Excludes drugs, diagonistics and dialysis) | Level 1 (HDU) | 500,000 | 540,000 | ||
|
| Level 2 (ICU) | 1,000,000 | 1,500,000 | ||
E | REPRODUCTIVE MEDICINE | |||||
|
| ART Counseling | 40,000 | 50,000 | ||
|
| In-vitro fertilization | 13,000,000 | 22,000,000 | ||
|
| Intrauterine Insemination (IUI) | 2,190,000 | 3,700,000 | ||
|
| Intra-cytoplasmic sperm Injection (ICSI) | 14,600,000 | 25,000,000 | ||
|
| Testicular Sperm Extraction (TESE) | 3,650,000 | 5,000,000 | ||
|
| Percutaneous Epididymal Sperm Extraction (PESA) | 3,650,000 | 5,000,000 | ||
|
| Cryo-preservation (Annual fee) | 3,000,000 | 3,700,000 | ||
|
| Psychotherapy | 50,000 | 50,000 | ||
|
| Laparoscopy | ||||
|
| Diagnostic | 3,000,000 | 3,255,000 | ||
|
| Therapeutic | ||||
|
| Level 1 | 7,000,000 | 7,300,000 | ||
|
| Level 2 | 9,125,000 | 12,000,000 | ||
|
| Level 3 | 12,775,000 | 14,000,000 | ||
|
| Hysteroscopy | ||||
|
| Diagnostic | 3,650,000 | 4,200,000 | ||
|
| Therapeutic | 5,000,000 | 7,300,000 | ||
|
| Permanent Methods | ||||
|
| laparoscopic tubal occlusion | 3,650,000 | 4,200,000 | ||
| ||||||
F | PHYSIOTHERAPY | |||||
|
| Physical pain relief per session of 30 minutes | 100,000 | 200,000 | ||
|
| Muscle and nerve stimulation session 30min | 100,000 | 200,000 | ||
|
| Ultrasound therapy session 30min | 100,000 | 200,000 | ||
|
| Infra-red rays | 100,000 | 200,000 | ||
|
| Mobilization session 60min | 200,000 | 300,000 | ||
|
| Short Wave Diathermy session 30min | 100,000 | 200,000 | ||
|
| Muscle strengthening session 60min | 200,000 | 300,000 | ||
|
| |||||
G | LABORATORY/IMAGING | |||||
|
| |||||
HAEMATOLOGY LABORATORY | ||||||
| Test parameters | |||||
| APTT | 50,000 | 51,000 | |||
| B-HCG | 40,000 | 50,500 | |||
| Blood culture | 80,000 | 82,500 | |||
| Blood slide (B/S) | 20,000 | 20,500 | |||
| Brucella screening test/titre | 25,000 | 25,500 | |||
| CA2+ | 25,000 | 26,500 | |||
| Cadiac enzymes | 100,000 | 105,000 | |||
| Cancer markers(each) | 40,000 | 60,500 | |||
| CBC | 30,000 | 32,000 | |||
| CD4 | 50,000 | 54,000 | |||
CHEMISTRY LABORATORY | ||||||
| Congo red | 35,000 | 35,000 | |||
| Consumption index (PTI) | 200,000 | 200,000 | |||
| D- dimer | 80,000 | 80,500 | |||
| DNA paternity test | 500,000 | 560,000 | |||
| Electroyletes(each) | 20,000 | 20,000 | |||
| ESR | 20,000 | 20,000 | |||
| Estrogen (E2) | 50,000 | 50,000 | |||
| Ferretin | 50,000 | 50,000 | |||
| Film comment | 50,000 | 50,000 | |||
| Fasting blood sugar (blood glucose)/RBS | 20,000 | 20,000 | |||
| Fasting lipid profile | 100,000 | 100,000 | |||
| Folate | 50,000 | 50,000 | |||
| FSH | 50,000 | 50,000 | |||
| HB-electrophoresis | 100,000 | 120,000 | |||
| Hepatitis B surface antigen/HCV(each) | 25,000 | 26,500 | |||
| HIV screening | 25,000 | 25,000 | |||
| HIV DNA-PCR | 200,000 | 212,500 | |||
| HVS anaylysis | 25,000 | 25,000 | |||
| PT/INR | 60,000 | 62,500 | |||
| LFTS | 80,000 | 92,000 | |||
| LH | 50,000 | 50,000 | |||
| Malaria RDT | 20,000 | 20,000 | |||
| Coomb's test (Direct & Indirect) | 70,000 | 75,500 | |||
| MG2+ | 25,000 | 26,500 | |||
| Blood group + Cross Match | 30,000 | 32,500 | |||
| PM cortisol/AM cortisol(each) | 50,000 | 52,000 | |||
| Progestrone | 50,000 | 50,000 | |||
| Prolactin | 50,000 | 50,000 | |||
| OGTT | 80,000 | 100,000 | |||
| RFTS | 80,000 | 90,000 | |||
| Rhemomatoid factor | 40,000 | 40,000 | |||
| T3 | 50,000 | 50,000 | |||
| T4 | 50,000 | 60,000 | |||
| Thrombin time | 70,000 | 70,000 | |||
| TSH | 50,000 | 50,000 | |||
| Neutrophil alkaline phosphatase | 35,000 | 35,000 | |||
| Phosphates | 25,000 | 25,000 | |||
| Plasma fibrinogen | 100,000 | 102,500 | |||
| ||||||
MICROBIOLOGY LABORATORY | ||||||
| Pleural fluid analysis+C/S | 70,000 | 80,000 | |||
| Sputum analysis/ZN/gram(each) | 30,000 | 35,000 | |||
| Stool analysis/microscopy/modified ZN(each) | 20,000 | 22,000 | |||
| TPHA | 20,000 | 20,000 | |||
| Uric acid | 20,000 | 20,000 | |||
| Urinalysis | 20,000 | 20,000 | |||
| Urine HCG | 20,000 | 25,000 | |||
| VDRL | 20,000 | 20,000 | |||
| HBSAg viral load | 200,000 | 200,000 | |||
| HIV viral load | 150,000 | 150,000 | |||
| VIT B12 | 40,000 | 40,000 | |||
| Culture & sensivitivty for all | 50,000 | 50,000 | |||
| Semen analysis | 100,000 | 100,000 | |||
| Toxo(IGM/IGG) | 80,000 | 85,000 | |||
| CMV | 100,000 | 110,000 | |||
| Anti phospho lipid | 100,000 | 100,000 | |||
| Anti glycopeptide | 100,000 | 100,000 | |||
| Executive Checkup (CBC+ESR+Lipid Profile+ RFT+ LFT+ Uric Acid+TPHA+ Blood Sugar+ Stool Analysis+Urine Analysis+ Pancreatic Profile+)+PSA (50,000) & PAP Smear (100,000) | 350,000 | 360,000 | |||
|
| |||||
PATHOLOGY | ||||||
| Aspiration cytology FNA | 100,000 | ||||
| Autopsy (post mortem) | 150,000 | ||||
| Basic histology H&E small sample one to 3slides | 80,000 | ||||
| basic histology H&E medium sample 4 to7 slides | 120,000 | ||||
| Large specimen or complex of 8 and above slides | 200,000 | ||||
| Body storage | 10,000 | ||||
| Cleaning and dressing | 20,000 | ||||
| Embalmment Adult | 150,000 | ||||
| Embalmment Neonatal | 70,000 | ||||
| Exfoliative cytology | 80,000 | ||||
| Frozen section | 120,000 | ||||
| Immunofluorescence | 120,000 | ||||
| Immunogenetic HLA Typing | 2,000,000 | ||||
| Immunohistochemistry | 120,000 | ||||
| Molecular genotyping (cancer) | 1,800,000 | ||||
| Punch biopsy | 100,000 | ||||
RADIOLOGY | ||||||
| Plain x-ray | 30,000 | ||||
| Special x-ray examinations | 100,000 | ||||
| Ultrasound | 30,000 | ||||
| Special ultrasound | 100,000 | ||||
| CT scan | 180,000 | ||||
| Mammography | 90,000 | ||||
| Interventional radiology | 100,000 | ||||
| MRI | 350,000 | ||||
| 3D Scan | 150,000 | ||||
