

@mastersthesis {6939,
	title = {The demand for outpatient care in a health district in the north west province of {Cameroon}: an empirical investigation into the potential effects of introducing community financing in public health centres},
	year = {1995},
	note = {U062709},
	school = {University of London, London School of Hygiene and Tropical Medicine (United Kingdom)},
	type = {phdPh.{D}.},
	address = {Ann Arbor},
	abstract = {In Cameroon, health care has been provided in public health centres free at the point of delivery. Due to the economic crisis and the worldwide recession, the government can no longer keep pace with the recurrent spending required by the health sector. New thinking about health care financing is needed. There have recently been indications that the government supports the active participation of the community in the financing of health care. The critical elements of this community participation in health care financing which differentiate it from the user fees paid in government hospitals are the local control of the financial resources that goes with the participation and the improvement of quality of care that is expected to result from the local control of the financial resources. The aim of this study is to examine the potential impact of community financing on the utilization and accessibility of health care providers in general and the government health centres in particular. A household interview survey, Focus group discussions, indepth interviews and document reviews were undertaken in one health district in the North West Province of Cameroon. 1147 households with 6656 members were visited and their heads interviewed. Of 1093 households with 3441 adult members analyzed, only 603 indicated that they had an adult sick within two weeks prior to the date of the household interview survey (HIS). The results indicate that people who seek health care from any of the health care providers in the district spend a substantial proportion of their incomes on treatment, even in government health units where treatment is supposed to be free. Like other studies, this one found that people in the poorest quartile spend a higher proportion of their income on treatment compared to those in the highest quartile. Transport and time costs are also higher for those in the lowest quartile compared to those in the highest quartile.},
	keywords = {(UMI)AAIU062709, 0630:Public policy, Bibliographies, Psychology{\textendash}Abstracting, Public policy, Social sciences, Statistics},
	url = {http://search.proquest.com/docview/301491217?accountid=14270},
	author = {Tembon, C A}
}
