International Eye Foundation
IEF SightReach® Management Partner
Ridge HospitalAccra, GHANA
Funded by de Beaumont Foundation & IEF
Raheem RahmathullahIEF Sustainability Specialist
International Eye Foundation
International Eye Foundation
Area: 238,537 sq. km (92,100 sq. mi.)
Pop: 21,029,853 (2005 est.)Females- 51% Male 49%
Life Expectancy at Birthtotal population: 56 years male: 55.04 years female: 56.99 years (2005 est.)
GDP: $5.9 billion (2002) GDP per Capita: $1,980 (2002)
International Eye Foundation
PurposeEstablish the Ridge Hospital as a model for the country that demonstrates:• Ability of a government hospital to
reach marginalized populations lacking services
• Establish systems for high volume cataract surgery
• Create complimentary high-pay and low-pay services
• Improve patient convenience and satisfaction
• Improve financial autonomy• Develop greater credibility and
reputation
International Eye Foundation
Outputs
•Decrease in Unit cost of cataract surgery•Increase in surgical quality outcome•Increase in number of poor and womenserved•Management Information and reporting mechanisms are in place and operational.•Initiate a High Pay afternoon clinic.•Start an Outreach program
International Eye Foundation
Registration
BEFORE: area under “stilts”
empty AFTER: “stilts” area built out to house primary waiting room, registration, and
cashier
International Eye Foundation
New Nurse Exam Room
International Eye Foundation
BEFORE: Minor Surgery
Room
Clinical Exam and Minor Surgery
AFTER: One side: Test Vision, Refraction, A-Scan
AFTER: Other side: visual fields, minor surgery
International Eye Foundation
Redesigned Upstairs Waiting Area Doctor’s
Exam Room
Less crowdedDr. Patrick Kwaw-Quaidoo, MD,
MPH
International Eye Foundation
Operating Theatre
BEFORE: one bed, one old operating microscope AFTER: 2 beds, 2 surgeons, one
new operating microscope, room for training
International Eye Foundation
Pilot Optical Service
•Provide optical services and spectacles
•Earn revenue
International Eye Foundation
OutreachRegistrati
on
Test Vision
Nurse Exam Refraction Spectacles
International Eye Foundation
Church of Latter Days Saints Donates Vehicle for
Outreach Services
International Eye Foundation
Note: Salaries and benefits, electricity, water, and other utilities are not included in expenditures. These costs are covered by the Ministry of Health.
Achievements to Date
Clinical Data: Qtr 1 Qtr 2 Qtr 3 Qtr 4 Total-2006Qtr 1-2007 BaselineOut Patient Exams < 15 yrs 456 250 380 437 1,523 326 Out Patient Exams > 16 yrs 1,853 1,310 2,219 2,395 7,777 1,488 Total Out Patient Exams 2,309 1,560 2,599 2,832 9,300 1,814 8,640
8%Cataract Surgery 27 6 14 14 61 26 345 Other Surgery 11 2 14 17 44 19 288 Total Surgery 38 8 28 31 105 45 633
Revenues:Out Patient revenue 3,585$ 2,194$ 3,406$ 7,588$ 16,773$ 6,273$ 12,579$ Surgery Revenue 516$ 132$ 346$ 1,885$ 2,879$ 2,429$ -$ Optical Revenue (Refraction) 1,918$ 1,918$ 2,270$ -$ Other Revenue (Visual Fields) 775$ 775$ 1,388$ -$ Total Revenue 4,101$ 2,326$ 3,752$ 12,166$ 22,345$ 12,360$ 12,579$
78%Expenditure: 820$ 566$ 900$ 3,099$ 5,385$ 1,426$ 1,561$ Percent cost recovered 415% 867% 806%
International Eye Foundation
Staff of Eye Unit, Ridge Hospital
Dr. Patrick Kwaw-Quaidoo circled