RxPG News Feed for RxPG News

Medical Research Health Special Topics World
  Home
 
   Health
 Aging
 Asian Health
 Events
 Fitness
 Food & Nutrition
 Happiness
 Men's Health
 Mental Health
 Occupational Health
 Parenting
 Public Health
 Sleep Hygiene
 Women's Health
 
   Healthcare
 Africa
 Australia
 Canada Healthcare
 China Healthcare
 India Healthcare
 New Zealand
 South Africa
 UK
 USA
 World Healthcare
 
   Latest Research
 Aging
 Alternative Medicine
 Anaethesia
 Biochemistry
 Biotechnology
 Cancer
 Cardiology
 Clinical Trials
 Cytology
 Dental
 Dermatology
 Embryology
 Endocrinology
 ENT
 Environment
 Epidemiology
 Gastroenterology
 Genetics
 Gynaecology
 Haematology
 Immunology
 Infectious Diseases
 Medicine
 Metabolism
 Microbiology
 Musculoskeletal
 Nephrology
 Neurosciences
 Obstetrics
 Ophthalmology
 Orthopedics
 Paediatrics
 Pathology
 Pharmacology
 Physiology
 Physiotherapy
 Psychiatry
 Radiology
 Rheumatology
 Sports Medicine
 Surgery
 Toxicology
 Urology
 
   Medical News
 Awards & Prizes
 Epidemics
 Launch
 Opinion
 Professionals
 
   Special Topics
 Ethics
 Euthanasia
 Evolution
 Feature
 Odd Medical News
 Climate

Last Updated: Oct 11, 2012 - 10:22:56 PM
Africa Channel

subscribe to Africa newsletter
Healthcare : Africa

   EMAIL   |   PRINT
Impact on child mortality of removing user fees in Africa

Oct 6, 2005 - 9:48:00 PM
Abolishing user fees (charges for health care at the point of use) could prevent approximately 233,000 child deaths annually in 20 African countries, say researchers in recent BMJ.

 
[RxPG] User fees are in place in most sub-Saharan African countries. They were introduced to tackle severe under-funding, but evidence shows that such fees do not generate much revenue, are unlikely to improve efficiency, and disproportionately affect poor people.

Using a simulation model, researchers in London analysed how many child deaths might be prevented if user fees were removed in 20 African countries.

They calculated that elimination of user fees could have an immediate and substantial impact on child mortality, preventing an estimated 233,000 deaths annually in children aged under 5 in 20 African countries (estimate range 153,000-305,000). This amounts to 6.3% of deaths in children under 5 in these countries.

Most of these lives would be saved by increased use of simple curative interventions, such as antimalarials and antibiotics combating dysentery and pneumonia, say the authors.

However, they stress that these gains will only be sustainable if policy makers establish viable alternative financing mechanisms, which also account for increased demand for services.

Replacing user fees with more equitable financing methods should be seen as an effective first step towards improving children’s access to healthcare services and achieving the millennium development goals for health, they conclude.

But in another article, Lucy Gilson and colleagues from South Africa warn that removing user fees must be carefully managed to avoid negative impacts on the wider health system. “Fee removal must be accompanied by increased national budgets for health care to protect the quality of health care in the face of increased utilisation,” they write.

And they also emphasise the need to engage key groups such as health workers in the implementation of this policy change.



Publication: British Medical Journal, 1 October 2005 (Vol 331, No 7519)
On the web: Read full text of the source article at Journal's Website 

Advertise in this space for $10 per month. Contact us today.


Related Africa News
African Union and UN Agencies launch HIV Prevention Acceleration in Africa
53 African countries meet in Brazzaville to discuss scaling up of HIV prevention
HIV/AIDS trials under-represented in sub-Saharan research
Impact on child mortality of removing user fees in Africa
Notable Success in KwaZulu–Natal Malaria Crisis
91 per cent drop in Measles cases in Africa
Discriminatory Attitudes of Health Workers against People Living with HIV
WHO appoints Dr Pascoal Mocumbi as Goodwill Ambassador for maternal mortality reduction in the African Region
Road Map to Intensify Action Against TB in Africa

Subscribe to Africa Newsletter

Enter your email address:


 Feedback
For any corrections of factual information, to contact the editors or to send any medical news or health news press releases, use feedback form

Top of Page

 
Contact us

RxPG Online

Nerve

 

    Full Text RSS

© All rights reserved by RxPG Medical Solutions Private Limited (India)