Inventaire d'enquêtes Demostaf

Information sur la citation

Type Revue - Health Affairs
Titre In Madagascar, Use Of Health Care Services Increased When Fees Were Removed: Lessons For Universal Health Coverage
Auteur(s)
Volume 36
Numéro 8
Publication (Jour/Mois/Année) 2017
Numéros de page 1443-1451
URL https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2016.1419
Résumé
Despite overwhelming burdens of disease, health care access in most developing countries is extremely low. As governments work toward achieving universal health coverage, evidence on appropriate interventions to expand access in rural populations is critical for informing policies. Using a combination of population and health system data, we evaluated the impact of two pilot fee exemption interventions in a rural area of Madagascar. We found that fewer than one-third of people in need of health care accessed treatment when point-of-service fees were in place. However, when fee exemptions were introduced for targeted medicines and services, the use of health care increased by 65 percent for all patients, 52 percent for children under age five, and over 25 percent for maternity consultations. These effects were sustained at an average direct cost of US\$0.60 per patient. The pilot interventions can become a key element of universal health care in Madagascar with the support of external donors.

Études utilisées

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Garchitorena, C Miller, F Cordier, Ramananjato, R Rabeza, Murray, Cripps, Hall, Farmer, Rich, Orlan, Rabemampionona, Rakotozafy, Randriantsimaniry, Gikic, and H Bonds. "In Madagascar, Use Of Health Care Services Increased When Fees Were Removed: Lessons For Universal Health Coverage." Health Affairs 36, no. 8 (2017): 1443-1451.
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