Community financing of health care in Africa: An evaluation of the Bamako initiative
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Cited by (110)
Maternal mortality and the metempsychosis of user fees in Liberia: A mixed-methods analysis
2019, Scientific AfricanCitation Excerpt :In a 1987 report, Financing Health Services in Developing Countries, the World Bank promoted the use of user fees at government health facilities in order to generate increased revenue for health services, reduce overconsumption of health resources by shunting patients to lower cost primary care services, and subsidize rural health care by diverting money collected in urban areas [59]. This mode of cost recovery was enshrined in the 1987 Bamako Initiative, which committed many African ministries of health to establish universal access to primary care by decentralizing health decision-making and promoting user fees [60]. Such lofty goals were seldom realized, however.
The role of government and community in the scaling up and sustainability of mutual health organisations: An exploratory study in Ghana
2018, Social Science and MedicineCitation Excerpt :Most of the people in the communities are peasant farmers, artisans or fishermen, whose financial availability is seasonally directed. The study postulates that it is the socio-economic indicators, health status and people's desire for an efficient and effective health system that are the propellers of a workable health reform policy similar to an earlier observation (McPake et al., 1993). In Ghana, the sense of community feeling is motivating people to contribute to the development programmes such as health financing in their neighbourhoods as previously noted (Carrin et al., 1999).
National Health Systems: A Historical Overview
2016, International Encyclopedia of Public HealthInvestigating the affordability of key health services in South Africa
2013, Social Science and MedicineCitation Excerpt :While some households are able to use savings, others face the need to reduce consumption, particularly food (Rugalema, 1998; Tibaijuka, 1997). Other frequent coping strategies are the sale of assets (Kabir, Rahman, Salway, & Pryer, 2000; Sauerborn, Adams, & Hien, 1996; Wilkes, Hao, Bloom, & Xingyuan, 1997) and borrowing, either from family and friends or from a money lender (McPake, Hanson, & Mills, 1993; Nahar & Costello, 1998). One could regard the two different approaches to assessing affordability of health care costs respectively as being:
" We charge them; otherwise we cannot run the hospital" front line workers, clients and health financing policy implementation gaps in Ghana
2011, Health PolicyCitation Excerpt :Despite documented inequities associated with user fees [1–6], they remain an important financing mechanism in low and middle income countries (LMIC) not easily decreed away [7].