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Development of a sustainable project in Tanzania based on simple, innovative ideas

Published:March 18, 2017DOI:https://doi.org/10.1016/j.surg.2016.11.032
      In providing health care in the developing world, it is next to impossible to “balance the budget” with revenue (fee-for-service) derived from clinical services where the average gross domestic product per capita is $5 per day. The recipients of such care may be simply too poor to pay for their care; in addition, one must also consider the relatively high cost of drugs, medical supplies, and equipment. Even in the most advanced mission hospitals, the ability to make up a deficit of 30%–40% (clinical revenue minus cost) is not possible based on income generated from the patients (or the government/country itself) paying for the services.
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