Cost sharing for primary health care : lessons from Yemen /
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| Author / Creator: | Al Serouri, Abdul W. |
|---|---|
| Imprint: | Oxford, UK : Oxfam ; Herndon, VA : Stylus Pub. [distributor], c2002. |
| Description: | vi, 78 p. : ill., map ; 30 cm. |
| Language: | English |
| Series: | Oxfam working papers Oxfam working paper. |
| Subject: | |
| Format: | E-Resource Print Book |
| URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/4818572 |
Table of Contents:
- List of abbreviations
- Preface
- Map of sites
- 1. Introduction
- Country profile
- The health situation in Yemen
- Review of international and national experience of cost sharing
- 2. Aims and objectives of the research
- Rationale for research
- Methodology
- 3. Results
- Utilisation of health services and its determinants
- Access to health services
- Willingness to pay for health care
- Quality of health services
- Overall evaluation of cost sharing
- Exemptions: do they work?
- Cost sharing: some operational issues
- 4. Discussion
- Impact of cost sharing
- Factors reducing the effectiveness of cost sharing: system operation
- Factors reducing the effectiveness of cost sharing: the context
- Factors reducing the effectiveness of cost sharing: values and beliefs
- 5. Recommendations
- General recommendations
- Recommendations for exemption improvements
- Recommendations for quality improvements
- Recommendations for improvement of financial and managerial capabilities
- Recommendations for improvement of community participation
- Recommendations for future research
- 6. Conclusions
- References
- Appendix. Supplementary data on facilities, utilisation, access, and willingness to pay fees
- Figures
- Figure 1. Ranking of the reasons given by respondents for not using the health services and revolving drug fund
- Figure 2. Strategies for coping with the cost of health care
- Figure 3. Coping strategies by income status
- Figure 4a/b. Willingness to pay for services
- Figure 5a/b. Willingness to pay in revolving drug-fund systems
- Figure 6. Willingness to pay in fee-for-service and revolving drug-fund schemes by socio-economic status
- Figure 7. Overall evaluation of cost sharing by different stakeholders
- Figure 8. People who should be exempted
- Figure 9. Diseases which should be exempted
- Figure 10. Services which should be exempted
- Tables
- Table 1. Data collection techniques used in 16 health facilities studied
- Table 2. Focus group discussion: description of sample
- Table 3. User expenditure for the last visit at facilities implementing cost sharing
- Table 4. Selected quality indicators before and after implementation of cost sharing: user perspective
- Table 5. Capital cost and revenue in Yemeni Riyals from the revolving drug fund in 1999
