The Hospital Roosevelt is Guatemala’s largest hospital, and serves as a referral and training facility for the entire country. Within the Hospital Roosevelt, the Department of Obstetrics and Gynecology established a Reproductive Health Unit (RHU) to offer family planning information and services to obstetrics inpatients and OB/GYN outpatient clients, and to serve as a training site for medical residents completing their OB/GYN rotations. Hospital administrators requested assistance from the Frontiers in Reproductive Health (FRONTIERS) program to help establish a fee schedule for the RHU, with the goal of paying its own personnel costs after one year of operation. The FRONTIERS study found that the RHU was easily earning enough revenue to break even, but was unable to meet demand for tubal ligation because of limited access to surgical facilities. Several options were outlined for increasing production of tubal ligation while continuing to generate revenue to cover the expenditures for which the RHU is responsible.
Bratt, John H., Adrian Valdez, Roberto Molina, Mario Alfaro, Marco Antonio Barrientos, Carlos Brambila, and Werner Figueroa. 2001. "Setting prices for reproductive health services in a public hospital in Guatemala," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health