a) Income
Table 11: Regular income from patients’ fees and Ministry of Health staff grants for Lugala Lutheran Hospital
|
Month |
Inpatient fees |
Outpatient fees |
Infusion unit |
Ministry of Health staff Grant |
|
January |
2,609,150 |
1,476,200 |
208,400 |
1,164,320 |
|
February |
2,391,600 |
1,448,700 |
155,200 |
1,322,189 |
|
March |
2,227,500 |
1,506,000 |
173,700 |
1,322,189 |
|
April |
1,586,700 |
1,052,300 |
101,200 |
1,322,189 |
|
May |
2,432,200 |
1,398,750 |
142,000 |
1,322,189 |
|
June |
2,871,650 |
1,570,800 |
186,700 |
1,322,189 |
|
July |
3,314,550 |
2,080,250 |
265,500 |
1,322,189 |
|
August |
3,437,350 |
2,028,600 |
227,100 |
1,322,189 |
|
September |
3,813,650 |
2,328,950 |
241,900 |
1,322,189 +853,000 bed grant |
|
October |
4,205,500 |
1,954,800 |
274,100 |
1,322,189 |
|
November |
3,116,500 |
1,759850 |
248,400 |
1,322,189 |
|
December |
2,433,650 minus overcharges 185,850 |
1,581,950 |
205,500 |
Not
received yet |
Total 2002
|
28,757,350 |
21,370,050 |
3,676700 |
15,028,400 |
Total 2003 |
34,254,150 |
20,187,150 |
2,429,700 |
15,239,210 |
In addition we received:
997,105.80 TSH from the NHIF (for services rendered to government employees). Approximately another one million TSH have not been reimbursed yet.
700,000 TSH from AMREF for the repair of Vesico-vaginal-fistules (VVF)
Missed income because patients were too poor to pay their bill
TSH 249,800
Missed income because patients left without paying
TSH 1,675,800
b) Other local income
Income from the letting of cars to members of staff and relatives of patients: TSH 981,500
Income from Ngalimila health centre TSH 1,660,080
Income from Tanganyika Masagati TSH 1,415,890
Debts recovered from Tumaini, paid as a donation from the KPS
TSH 2,822,200
Debts recovered from poor patients (2001 - 2003), paid as a donation from the KPS TSH 3,480,000
Charges photocopying machine + Email TSH 77,500
Sale of a defect fridge TSH 150,000
Sale of an old generator TSH 2,000,000
Sale of a defect petrol generator TSH 200,000
Sale of equipment, which could no longer be repaired as metal scrap
TSH 52,000
Income workshop TSH 78,850
Canteen (rent) TSH 120,000
Guest house TSH 71,000
Rent (staff houses) TSH 419,850
Water and electricity (staff houses) TSH 500,750
Contributions to sickness fund by the staff TSH 572,800
Reimbursement (National Insurance Company) TSH 2,886,200
Tractor project TSH 2,655,750
Thus the income of Lugala Lutheran Hospital amounted to
TSH 93,951,685
This is an increase of TSH 15,690,499 in comparison with 2002.
Table 12: List of special grants
|
Purpose (or origin) |
Amount received |
Amount spent |
Comment |
|
Repair T. Masagati health centre |
Euro 900,- |
Euro 900,- |
Dispensary and staff houses have been repaired, a new well was constructed. |
|
Repair Ngalimila health centre |
Euro 1500,- |
Euro 1500,- |
New windows and doors were fitted. |
|
Spare parts for generators |
Euro 2400,-(exchange rate 1303 TSH per Euro) |
3,047,077 TSH |
TSH
82,500 remain |
|
Solar equipment |
Euro 5000,- (at that time the exchange rate was only 950 TSH per Euro) Euro 20000,- in Germany |
4,740,250 TSH spent in Germany |
TSH 9,750 remain Batteries and other equipment received and installed |
|
Sterilizing equipment |
Euro 5000,- |
2,591,000 TSH |
Remaining money kept in the bank account in Dar |
|
Support from Lugala Arbeitskreis |
EURO 20 000,- |
Spent to cover most of the overall deficit of 28,805,828TSH and to pay allowances of senior staff |
|
|
Donation from Dr. Jeff Sorensen |
TSH 13,000,000 |
Paid into MSD |
|
|
Donation from Hermina Meyer, Eastern Washington Idaho Synod |
Euro 2811.76 |
Used to buy new air conditioners, see ‘repair and replacement of equipment’ |
|
b) Expenditure
Table 13: Regular local expenditure (* National Social Security Fund) in 2003
|
Month |
Gross Salaries plus routine allowances |
NSSF* (10% of gross salaries) |
On call allowances actually paid |
Office expenditure |
Laundry and Cleaning expenditure |
|
Jan. |
4,322,438 |
360,119 |
686,700 |
104,400 |
45,400 |
|
Feb. |
4,222,858 |
354,477 |
425,015.25 |
471,200 |
14,500 |
|
March |
4,280,178 |
355,010 |
351,307 |
54,000 |
29,500 |
|
April |
4,175,758 |
349,823 |
540,075.60 |
203,900 |
44,500 |
|
May |
4,175,758 |
349,823 |
456,500 |
107,850 |
72,100 |
|
June |
4,646,970 |
374,909 |
391,000 |
86,250 |
37,000 |
|
July |
4,219.940 |
336,981 |
657,783.50 |
467,500 |
53,880 |
|
Aug. |
4,448,345 |
353,863 |
777,896 |
266,300 |
47,500 |
|
Sept. |
4,410,940 |
349,029 |
465,185.30 |
255,410 |
114,600 |
|
Oct. |
4,368,400 |
340,098 |
403,450 |
140,770 |
165,900 |
|
Nov. |
4,501,300 |
340,098 |
845,400 |
8,500 |
51,500 |
|
Dec. |
5,947,090 |
337,798 |
443,000 |
380,110 |
2,000 |
Total |
53,719,975 |
4,202,028 |
6,443,312.65 |
2,546,190 |
678,380 |
b) other local expenditure
Drugs TSH 24,116,270
Infusion Unit supplies TSH 2,412,750
Diesel TSH 5,178,000
Travel and leave allowances TSH 2,604,420
Training fees TSH 3,688,000
Uniforms TSH 500,280
Medical treatment of staff and their families TSH 688,700
Contribution to funerals TSH 30,000
Salaries for part time workers and temporary staff TSH 2,442,500
Retrenchment expenditure TSH -
Best worker award not yet paid
Repair of staff houses TSH 2,422,450
Repair of hospital buildings TSH 454,100
Licence of airstrip and gun (watchman) TSH 5,000
CSSC Contribution not yet paid
National radiation commission TSH 280,000
Repair and replacement of equipment TSH 3,173,796
Car maintenance TSH 2,672,100
Tractor maintenance TSH 2,221,749
Campus maintenance (usually maintenance work is given to relatives of patients who have difficulties paying their bills) TSH 310,300
Kerosene and other supplies TSH 186,100
Bank charges (Ifakara only) TSH 157,860
Deepening of hospital well (material bought in case the
well would dry up)
TSH 492,000
Expenditure for Ngalimila health centre (apart from salaries) TSH 221,640
Expenditure for T. Masagati health centre TSH 154,870
Grand Total of all expenditure: TSH 122,002,770
(118,853,770 in 2002)
Deficit: 28,051,084 (40,592,584 in 2002)