Abolition of user fees for healthcare in Uganda

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Abolition of user fees for healthcare in Uganda by Mind Map: Abolition of user fees for healthcare in Uganda

1. OPP = impoverishment of households + non-equitable access to health services

2. 8. USER FEES ON EDUCATION?

3. 4. POLICY DESCRIPTION

3.1. DUAL SYSTEM:

3.1.1. 1. Abolition: Free Health Centers and Hospitals

3.1.2. 2. Payment private HC and Hospitals

3.2. TARGET: the poor (free access)

3.3. Modest INCREASE IN PUBLIC EXPENDITURE (access + quality)

3.4. GOAL:

3.4.1. 1. Acces

3.4.2. 2. Stimulation of the demand

4. 1. PROBLEM: INADEQUATE HEALTH FINANCING. Heavy reliance on OOP payments.

5. 2. HEALTH CARE IN UGANDA. Description.

6. 3. WHY? Are there barriers (to access) associated to user fees?

6.1. 1. Price

6.1.1. Demand side

6.2. 2. Infrastructures

6.2.1. Supply side

7. 5. RESULTS

7.1. 1. It has improved access to health services: illness reporting and utilization increased, particularly by the poorest quintile

7.2. 2. Increased use of lower-level government health centers

7.3. 3. Reductions in the use of hospital services

7.4. 4. The wealthier have increasingly switched to private clinics.

7.5. 5. The importance of cost for not seeking care is relative

7.6. Household expenditure on health care increased for all quintiles between 2002/03 and 2005/06 = the PROBLEM wasn't solved

7.6.1. WHY?

7.6.1.1. 1. Drugs purchased from private pharmacies

7.6.1.2. 2. Informal payments to

8. 6. FIRST-HAND ANALYSIS OF DATA

9. 7. USER FEES IN OTHER COUNTRIES

10. 9. CONCLUSIONS