Presbyterian Church of East Africa Chogoria Hospital is a faith-based nongovernmental organization providing a wide range of healthcare services. The organization faces a number of challenges related to sustainability: declining donor support (especially for reproductive health services), low cost recovery levels, and increasing poverty levels among its clientele. In response to these concerns, a team from Chogoria Hospital attended a one-week workshop on financial sustainability held in Ghana and developed a small-scale operations research project to determine the cost of providing a selected number of reproductive health (RH) services and to evaluate their cost recovery levels. The study found that the provision of RH services is not sustainable under the current cost and revenue structure. Measures to be explored to improve sustainability include increasing fees, cost containment, cross subsidization from other services, and negotiation of reimbursement from the national health insurance fund.
Munguti, Nzoya, Moses Mokua, Rick Homan, and Harriet Birungi. 2006. "Cost analysis of reproductive health services in PCEA Chogoria Hospital, Kenya," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health