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.