SidaGhanaV1, Main, Exploration, bibRecord, 001463

Impact of user fees on attendance at a referral centre for sexually transmitted diseases in Kenya

Identifieur interne : 001463 ( Main/Exploration ); précédent : 001462; suivant : 001464

Impact of user fees on attendance at a referral centre for sexually transmitted diseases in Kenya

Auteurs : S. Moses [Kenya] ; F. A Plummer [Kenya] ; S. Moses [Canada] ; F. A Plummer [Canada] ; F. Manji [Kenya] ; J. E Bradley [Kenya] ; N. J. D Nagelkerke [Pays-Bas] ; M. A Malisa [Kenya]

Source :

The Lancet [ 0140-6736 ] ; 1992.

RBID : ISTEX:DF4DCA1AF08675651360A04DA148803923FA1C86

Descripteurs français

Wicri :
- geographic : Kenya.
- topic : Soins de santé, Entreprise privée.

English descriptors

Abstract

We investigated the impact of a short-lived policy of charging fees to patients attending public-sector outpatient health facilities in Kenya by collecting data on attendance at Nairobi's Special Treatment Clinic for sexually transmitted diseases (STDs) before (23 months), during (9 months), and after (15 months) the user-charge period. During the user-charge period, the seasonally adjusted total mean monthly attendance of men decreased significantly to 40% (95% Cl 36-45) of that before fees were levied. Attendance rose in the post-user-charge period, but reached only 64% (59-68) of the pre-user-charge level. For women, the adjusted total mean monthly attendance during the user-charge period was reduced significantly to 65% (55-77) of the pre-user-charge level. Mean monthly attendance by women rose in the post-user-charge period to 22% (9-37) above the pre-user-charge level. There was no evidence of an increase in attendance over the course of the user-charge period among either men or women. The introduction of user fees probably increased the number of untreated STDs in the population, with potentially serious long-term health implications. The user-fee experience in Kenya should be carefully evaluated before similar measures are introduced elsewhere.

Url:

https://api.istex.fr/document/DF4DCA1AF08675651360A04DA148803923FA1C86/fulltext/pdf

DOI: 10.1016/0140-6736(92)91778-7

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Istex, to step Corpus: 000174
to stream Istex, to step Curation: 000174
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Le document en format XML

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<term>Essential health services</term>
<term>Genital herpes</term>
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<front><div type="abstract" xml:lang="en">We investigated the impact of a short-lived policy of charging fees to patients attending public-sector outpatient health facilities in Kenya by collecting data on attendance at Nairobi's Special Treatment Clinic for sexually transmitted diseases (STDs) before (23 months), during (9 months), and after (15 months) the user-charge period. During the user-charge period, the seasonally adjusted total mean monthly attendance of men decreased significantly to 40% (95% Cl 36-45) of that before fees were levied. Attendance rose in the post-user-charge period, but reached only 64% (59-68) of the pre-user-charge level. For women, the adjusted total mean monthly attendance during the user-charge period was reduced significantly to 65% (55-77) of the pre-user-charge level. Mean monthly attendance by women rose in the post-user-charge period to 22% (9-37) above the pre-user-charge level. There was no evidence of an increase in attendance over the course of the user-charge period among either men or women. The introduction of user fees probably increased the number of untreated STDs in the population, with potentially serious long-term health implications. The user-fee experience in Kenya should be carefully evaluated before similar measures are introduced elsewhere.</div>
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Impact of user fees on attendance at a referral centre for sexually transmitted diseases in Kenya

Impact of user fees on attendance at a referral centre for sexually transmitted diseases in Kenya

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri