Strategic Health Purchasing Progress Mapping in Cameroon: A Scoping Review

Sieleunou, Isidore; Tamga, Denise Diane Magne; Tankwa, Joseph Maabo; Munteh, Promise Aseh; Tchatchouang, Elise Virginie Longang

doi:10.1080/23288604.2021.1909311

Cited by 14 publications

(10 citation statements)

References 52 publications

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“…Despite the available health units found in the area, results from the field revealed that most of the inhabitants are not aware of the services rendered, hence do not go for them. With the GIS, mapping of the heath units and site can be done to ease education and direction even to those coming from out of the region [13]. This has been proven to be true in several countries of the developed world and this work suggests it be implemented in Cameroon to help reduce health discrepancies at best.…”

Section: Discussionmentioning

confidence: 99%

Access to Healthcare and Spatialisation of Resources in Sub-saharan Africa: A GIS Solution to Mobility and Treatment of Patients in the West Region of Cameroon

Tichafogwe¹,

Makoley²,

Djibril³

2022

URP

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Access to health and availability of sanitary resources is a major deterrent to mobility and treatment in sub-Saharan African towns. If it is not a problem of distance, perhaps it will be that of existing health infrastructure and know-how. This article posits that the incongruence in the availability of health units and unsatisfactory alertness has affected care in the West Region. A physical-access-ratio analysis was done to determine the distance between the health resources and population through a GPS and WGS 84 for the presentation of results. Some 120 questionnaires were administered to patients and health personnel to have first-hand information on the ratio and health need of the area. Results from findings divulge an unequal distribution of health units in the West with 51.3% concentrated in five districts and 48.7% in fifteen. The ratio of population to available health unit is 2,543 inhabitants per unit which is commendable to the WHO 10,000 inhabitants per unit standard. Unfortunately this ratio is unevenly distributed within the region as districts with a high prevalence level of diseases possess less health units. The region is 78.6% accessible in the distance of households to health unit of 5km maximum of WHO standard with 21.4% of some areas at 20km away. With an uneven distribution of inhabitants to health personnel in the region, there is a need to re-adjust the ratio. This paper advocates for a health unit and resources map to facilitate mobility and reduce health discrepancies at best in the area.

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Section: Discussionmentioning

confidence: 99%

Access to Healthcare and Spatialisation of Resources in Sub-saharan Africa: A GIS Solution to Mobility and Treatment of Patients in the West Region of Cameroon

Tichafogwe¹,

Makoley²,

Djibril³

2022

URP

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“…performance. 5 There is little evidence published from Tanzania on healthcare purchasing arrangements and functions. This study analyses purchasing functions and what is required for strategic purchasing among the three healthcare insurance schemes in Tanzania -National Health Insurance Fund (NHIF), Social Health Insurance Benefit (SHIB), and improved Community Health Funds (iCHF).…”

Section: Key Messagesmentioning

confidence: 99%

“…4 There have been challenges in clearly defining services covered, specifying service provision guidelines, provider payment rates, reimbursement mechanisms, and accountability of the limited resources generated. 4,5 A transparent contractual agreement between purchasers and providers is important for accountability in the provision of healthcare services. Contractual agreements form the basis for establishing standards, provider performance targets, and monitoring service provision competence and encourage providers, to comply with the agreements, such as ensuring sufficient numbers of skilled staff are available to meet population healthcare needs.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Strategic Healthcare Purchasing Arrangements and Functions Towards Universal Coverage in Tanzania

Kuwawenaruwa

Makawia

Binyaruka

et al. 2022

Int J Health Policy Manag

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Background: Strategic health purchasing in low and middle-income countries has received substantial attention as countries aim to achieve universal health coverage, by ensuring equitable access to quality health services without the risk of financial hardship. There is little evidence published from Tanzania on purchasing arrangements and what is required for strategic purchasing. This study analyses three purchasing arrangements in Tanzania and gives recommendations to strengthen strategic purchasing in Tanzania. Methods: We used the multi-case qualitative study drawing on the National Health Insurance Fund (NHIF), Social Health Insurance Benefit (SHIB), and improved Community Health Fund (iCHF) to explore the three purchasing arrangements with a purchaser-provider split. Data were drawn from document reviews and results were validated with nine key informant interviews with a range of actors involved in strategic purchasing. A deductive and inductive approach was used to develop the themes and framework analysis to summarize the data. Results: The findings show that benefit selection for all three schemes was based on the standard treatment guidelines issued by the Ministry of Health. Selection-contracting of the private healthcare providers are based on the location of the provider, the range of services available as stipulated in the scheme guideline, and the willingness of the provider to be contracted. NHF uses fee-for-service to reimburse providers. While SHIB and iCHF use capitation. NHIF has an electronic system to monitor registration, verification, claims processing, and referrals. While SHIB monitoring is done through routine supportive supervision and for the iCHF provider performance is monitored through utilization rates. Conclusion: Enforcing compliance with the contractual agreement between providers-purchasers is crucial for the provision of quality services in an efficient manner. Investment in a routine monitoring system, such as the use of the district health information system which allows effective tracking of healthcare service delivery, and broader population healthcare outcomes.

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“…Among the main categories of schemes in Cameroon is the voucher program called Health Cheque. The donors funding the Health Cheque program aim at improving access to maternal and neonatal care in the three northern regions of the country [1] [2]. Women get a voucher for a set of maternal and neonatal health services.…”

Section: Introductionmentioning

confidence: 99%

Hospital Outcome of Newborns with a Health Cheque System in Comparison to Those Without

Hélène¹,

Jocelyn²,

Monono³

et al. 2023

OJPed

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Introduction: The health cheque system is a prepayment mechanism aimed at reducing neonatal and maternal mortality through improving the management of pregnant women. The pregnant woman with the health cheque system that she pays at six thousand francs XAF (African financial community) is covered free of charge for all the care provided by the cheque system in the health facilities accredited to the health cheque project. We did a study, with objective to determine the hospital outcome of newborns with a health cheque system (HCS) compared to those without health cheque system. Method: A descriptive cross-sectional study with retrospective data collection was carried out at the Ngaoundere Regional Hospital from January 2018 to September 2021. Results: During our study period, 2985 newborns were received. We saw an increase in admissions over the years, particularly in the group of newborns with the health cheque system. Comparatively, the percentage of newborns cured in the health cheque system group was 76.73% (n = 1643) versus 77.72% (n = 656) those in the non-health cheque system group. Those who died were 8.96% (n = 192) in the health cheque system group compared to 6.27% (n = 53) in the non-health cheque system group. Conclusions and Recommendations: Most patients admitted to our service have the health cheque system. We notice an increase in hospital attendance with the health cheque project. The outcome of the newborn under the health cheque system is not different from that without health cheque system. The health cheque system was successful in getting the larger number of newborns into care. The next step is to put strategies in place to keep these patients in care for the duration of hospitalization.

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Strategic Health Purchasing Progress Mapping in Cameroon: A Scoping Review

Cited by 14 publications

References 52 publications

Access to Healthcare and Spatialisation of Resources in Sub-saharan Africa: A GIS Solution to Mobility and Treatment of Patients in the West Region of Cameroon

Access to Healthcare and Spatialisation of Resources in Sub-saharan Africa: A GIS Solution to Mobility and Treatment of Patients in the West Region of Cameroon

Assessment of Strategic Healthcare Purchasing Arrangements and Functions Towards Universal Coverage in Tanzania

Hospital Outcome of Newborns with a Health Cheque System in Comparison to Those Without

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