1. Calculating service use at a district and regional level Kovin Naidoo ICEE Africa Director Vice President AFCO

2. 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

3. Measures of Importance Output (quantity) Outcome (quality) Outlay (cost)

4. Output (quantity) Is there a waiting list? Refraction Provision Rate Spectacle Provision Rate Spectacle Coverage Efficiency of the lab

5. Is there a waiting list? How many? Waiting period.

6. Refraction Provision Rate Refractions per year Target population

7. Spectacle Provision Rate Spectacles dispensed per year Target Population

8. Spectacle coverage Pxs with specs X 100 Pxs with specs + those needing specs

9. Outcome(Quality) Monitor: -Visual Acuity outcomes -Disease detected/referrals -Patient Satisfaction -Number of complains -Spectacle returns/remake

10. Lab Efficiency Number of spectacle jobs per day Waiting period for spectacles from time of order

11. Outlay(Cost)

12. Cost Containment Cost recovery Income generation

13. True cost of program Personnel: time and cost of full and part- time Spectacles Cases Travel Office Supplies Infrastructure costs

14. Management of Process Critical Formal structure for monitoring

15. Thank You

16. Exercise