Effects of new service charges on attendance at rual health facilities in Kenya.
Kenyans have long enjoyed free outpatient health care at government facilities while paying for admission and for child delivery.
In December 1989 user charges were introduced also for out-patient care at hospitals and health centres.
This before-and-aftter study of one rural hospital, two health centres and two dispensaries in rural Kenya shows major and statistically significant early drops in outpatient attendance at the hospital (28%) and at the health centres (50 and 43%) followed by a slow increase during the following months.
There was a modest, not significant, decline also at the dispensaries (14 and 7%) and in demand for services unaffected by the new fees and charges.
Mots-clés Pascal : Système santé, Service santé, Soin santé primaire, Homme, Kenya, Politique sanitaire, Aspect économique, Etude statistique, Budget, Dépense, Contrôle, Afrique
Mots-clés Pascal anglais : Health system, Health service, Primary health care, Human, Kenya, Health policy, Economic aspect, Statistical study, Budget, Expenditure, Check, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0230911
Code Inist : 002B30A01B. Création : 199406.