User fees in private non-for-profit hospitals in Uganda: a survey and intervention for equity

Amone, Joseph; Asio, Salome; Cattaneo, Adriano; Kweyatulira, Annet Kakinda; Macaluso, Anna; Maciocco, Gavino; Mukokoma, Maurice; Ronfani, Luca; Santini, Stefano Angelo

doi:10.1186/1475-9276-4-6

Cited by 19 publications

(23 citation statements)

References 11 publications

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“…18 There is no significant link between expenditure and official payment probability in the private sector, where most people make official payments (83%), although the point estimate is 0.01 (panel B, columns 4-6). This is consistent with the observation of Amone et al (2005) that patients exempted at Catholic hospitals are typically not poor.…”

Section: Probability Of Bribingsupporting

confidence: 90%

“…The results therefore fail to support the hypothesis that competition reduces bribery. Although NGO and mission hospitals also make provision for fee exemptions for the poor, Amone et al (2005) observe that in their sample of Catholic hospitals, only a minority of exempted patients were poor (the others were predominantly hospital and church staff, and teachers and pupils of the Catholic school). Most of these hospitals charged on a fee-for-service basis (each service had an associated fee), with the exception of treatment for tuberculosis and sexually transmitted diseases including HIV/AIDS, which was funded by the government.…”

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confidence: 94%

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Bribery in health care in Uganda

Hunt

2010

Journal of Health Economics

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Section: Probability Of Bribingsupporting

confidence: 90%

mentioning

confidence: 94%

Bribery in health care in Uganda

Hunt

2010

Journal of Health Economics

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“…Other studies conducted elsewhere have also indicated that cost is often a barrier to seeking health services especially among the poor 48,49 . Due to abolition of user fees at public health facilities, rural communities use them frequently 7 .…”

Section: Discussionmentioning

confidence: 99%

Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda

Musoke¹,

Boynton²,

Butler³

et al. 2015

Afr H. Sci.

159

132

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Background: The health seeking behaviour of a community determines how they use health services. Utilisation of health facilities can be influenced by the cost of services, distance to health facilities, cultural beliefs, level of education and health facility inadequacies such as stock-out of drugs. Objectives: To assess the health seeking practices and challenges in utilising health facilities in a rural community in Wakiso district, Uganda. Methods: The study was a cross sectional survey that used a structured questionnaire to collect quantitative data among 234 participants. The sample size was obtained using the formula by Leslie Kish. Results: While 89% of the participants were aware that mobile clinics existed in their community, only 28% had received such services in the past month. The majority of participants (84%) did not know whether community health workers existed in their community. The participants' health seeking behaviour the last time they were sick was associated with age (p = 0.028) and occupation (p = 0.009). The most significant challenges in utilising health services were regular stock-out of drugs, high cost of services and long distance to health facilities. Conclusions: There is potential to increase access to health care in rural areas by increasing the frequency of mobile clinic services and strengthening the community health worker strategy.

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“…Other factors are facility-based such as poor quality provision of health care services. Poor quality of health care services, specifically in East African countries, pose great challenges to health care seekers [17][18][19] .…”

Section: Short Communicationsmentioning

confidence: 99%

Level and Correlates of Self-medication among Adults in a Rural Setting of Mainland Tanzania

Kazaura¹

2017

pharmaceutical-sciences

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A descriptive cross-sectional study was conducted to estimate the proportion of adults practicing selfmedication in a rural setting of Tanzania. Using a structured interview schedule, we interviewed adults (aged at least 18 years) living in two selected wards. Data analysis involved descriptive statistics and logistic regression analysis. Among 474 study participants, 364 (76.8%) reported having experienced illnesses during the past three months before the survey. Among these, 236 (64.8%) reported having practiced self-medication. The main reported reason behind this practice was lack of money to consult a medical doctor. The major reported self-medication drugs include antipyretics 167 (58.2%), analgesics 162 (56.4%) and antimalarials 118 (41.1%). Use of antibiotics was reported by 51 (17.8%) participants. Self-medication was significantly associated with sex, education status and occupation of the respondent. Males had almost twice odds to practice self-medication as compared to females, Adjusted odds ratio was 1.9 (95% confidence interval, 1.1-3.4). Also, respondents with incomplete primary education had about four odds to practice self-medication than those without formal education. Although there were few participants reporting use of antibiotics, we recommend health educators to enhance understanding of benefits and possible risks associated with selfmedication. Also, we recommend a study to examine the attitudes associated with self-medication practices.

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User fees in private non-for-profit hospitals in Uganda: a survey and intervention for equity

Abstract: Background: In developing countries, user fees may represent an important source of revenues for private-non-for-profit hospitals, but they may also affect access, use and equity.

Cited by 19 publications

References 11 publications

Bribery in health care in Uganda

Bribery in health care in Uganda

Health seeking behaviour and challenges in utilising health facilities in Wakiso district, Uganda

Level and Correlates of Self-medication among Adults in a Rural Setting of Mainland Tanzania

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