This paper reports on a review of user charges for health services in rural areas of Papua New Guinea.
Facilities implementing both fee for service and community risk sharing schemes were studied.
This study found that there is a lack of any policy framework or practical guidelines on cost recovery.
In some areas fees are being used as a fiscal tool rather than to further health policy.
This study from Papua New Guinea raises serious questions about the virtue of cost recovery for health services in rural areas.
Equity is an issue and the fees are creating a barrier both for entry and continuation in the health system ; accountability is poor, and issues of cross subsidization are not addressed ; fee revenues from rural health services are small and primarily of local significance ; and are not being used to improve quality of health services.
Mots-clés Pascal : Financement, Système santé, Participation, Utilisateur, Milieu rural, Papouasie Nouvelle Guinée, Homme, Coût, Economie santé, Honoraires, Mélanésie, Océanie
Mots-clés Pascal anglais : Financing, Health system, Participation, User, Rural environment, Papua New Guinea, Human, Costs, Health economy, Fees, Melanesia, Oceania
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0679774
Code Inist : 002B30A01B. Création : 09/06/1995.