Financing primary health care: An NGO perspective

Diskett, Patricia; Nickson, Patricia

doi:10.1080/096145249100076041

Cited by 6 publications

(4 citation statements)

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“…In 1978, the International Conference on Primary Health Care, hosted in Alma Ata, aimed to make Primary Health Care (PHC) the foundation of low-and middle-income countries' (LMIC) public health care systems in order to improve health services in impoverished communities. However, severe underfunding lead to low quality services and a lack of supplies, including drug shortages (2). Meanwhile, budget allocations to health care resources had decreased due to debt repayment issues, Table 1: Summary of impact evaluation (with and without user fees) in Mali.…”

Section: Background Historymentioning

confidence: 99%

“…These policies forced the implementation of cost recovery strategies, such as creating and increasing user fees (9). User fees were predicted to improve the health care system on various levels by increasing: cost-effectiveness, availability declines in commodity prices, natural and man-made disasters, political unrest, and military spending (2).…”

Section: Background Historymentioning

confidence: 99%

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Failure of User Fees

Lehmann,

Sheng-Ya Huang,

Chavenet

et al. 2020

mjgh

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The end of health care user fees is within sight for an increasing number of African countries whom this policy was imposed upon in the late 1980 and early 1990s. User fees were part of structural adjustment programs (SAPs) dictated to developing countries by the World Bank, influenced by the Bamako Initiative. The West African country of Mali is presently working towards eliminating user fees and implementing Universal Health Care (UHC). This paper investigates health indicators of pregnant women in Mali during user fee implementation to show the negative impact of the policy, and extrapolates to future outcomes when UHC is available. For example, when user fees were removed in pilot projects, Caesarean costs decreased from 95-136 $USD to 0.80-10 $USD, and Caesarean rates increased by a factor of 2.5. As well, with user fees, Malian citizens had to pay an average of 2 months of salary per health care visit, severely limiting those who could access services. These numbers show that vulnerable individuals in Mali, such as expecting mothers, likely experience unmet need for healthcare services in Mali, and the current user fees system is insufficient and inequitable.

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Section: Background Historymentioning

confidence: 99%

Section: Background Historymentioning

confidence: 99%

Failure of User Fees

Lehmann,

Sheng-Ya Huang,

Chavenet

et al. 2020

mjgh

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“…Only a few studies have specifically examined issues of NGO finance (Berman and Dave, 1989;Diskett and Nickson, 1991).…”

Section: Ngo Health Provision and Financingmentioning

confidence: 99%

“…However, sustaining projects while maintaining prices the community can afford is likely to require external support (Diskett and Nickson, 1991). However, sustaining projects while maintaining prices the community can afford is likely to require external support (Diskett and Nickson, 1991).…”

Section: Ngo Health Provision and Financingmentioning

confidence: 99%

Planning and management of community financing: a review of NGO approaches in the health sector

Dave-Sen

McPake

1993

Voluntas

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In the face of severe resource shortages, community financing is increasingly being promoted as an alternative source of finance for public health providers. Non-government organisations have longstanding experience of community financing, but there is little documentation of the range of approaches. In this review, a sample of twenty NGOs was studied to explore these experiences. The range of approaches adopted by different organisations and the information available regarding success in achieving financial sustainability are described. Two preconditions for successful community financing (in this sense) are suggested by the evidence: collection of relevant background data relating to the proposed site of the community financing programme, and consultation with the community.

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Nongovernmental Organizations (NGOs)

Yanacopulos

2017

International Encyclopedia of Public Health

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Financing primary health care: An NGO perspective

Cited by 6 publications

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Failure of User Fees

Failure of User Fees

Planning and management of community financing: a review of NGO approaches in the health sector

Nongovernmental Organizations (NGOs)

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