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