Solidarity-based Financing of Health Care Access for the Poor Patients at the University Hospital Point G, Bamako, Mali
Abstract
Introduction: Almost half of the world's populations do not have access to basic health care. This exclusion mainly affects people living in rural areas, who are nevertheless the most susceptible to diseases. The Medical Assistance Plan allows a marked improvement in access to healthcare by poor patients. It eliminates out of pocket healthcare cost, which normally prevents most of them from accessing health care. Materials and methods: This study was aimed to investigate the accessibility to healthcare for poor patients at the University Hospital Point G. We conducted a 12-month descriptive cross-sectional study from March 2018 to April 2019. Data entry and analysis were performed using SPSS version 21.0. Results: Our study participants we interviewed were aged 30-44 years old in 30.7%, female in 60.7%, and housewives in 46.7%. Our interviewees consulted for consulted for chronic diseases in 79.3%, had no monthly income in 78.7% and obtained the healthcare benefits at no cost to them in 60.7%. The prescriptions costed between 5,000 and 15,000 FCFA in 51.1%, 20252 FCFA on average with a standard deviation of 1340 FCFA. In sum, 59 out of our 150 patients who were eligible for free healthcare had to pay for a contribution either a subsidized cost in 84.7% or a partial purchase in in 15.3%. Conclusion: The main barriers to healthcare were the chronicity of their diseases and the expensiveness of the healthcare due the level of poverty in the country.
Keywords: Solidarity financing, Access to healthcare, poor, CHU Point G / Mali
Keywords:
Solidarity financing, Access to healthcare, poor, CHU Point G / MaliDOI
https://doi.org/10.22270/jddt.v12i6-S.5710References
Yaya S., & Ileka-Priouzeau S. Access and equity in health care systems in Africa.2011,
Ridde V., Belaid L., Samb O.M., & Faye, A. Health financing collection modalities in Burkina Faso from 1980 to 2012. Santé Publique, 2014; 26(5),: 15-725. https://doi.org/10.3917/spub.145.0715
Saouadogo H., Amoussou K.M., & Ouedraogo L. Study of sustainable financing mechanisms for essential medicines in Loumbila, Burkina Faso. Santé Publique, 2012; 24(4):365-377. https://doi.org/10.3917/spub.124.0365
Dormont B., Geoffard P.Y., & Tirole J. Refunding health insurance. Notes du conseil analyses economies, 2014; (2):1-12. https://doi.org/10.3917/ncae.012.0001
Samb O.M., & Ridde V. Les interventions visant à subventionner le paiement des soins renforcent l'autonomisation des communautés au Burkina Faso. Canadian Journal of Public Health= Revue Canadienne De Santé Publique, 2012.103(7 Suppl 1), eS20-5. https://doi.org/10.1007/BF03404455
Attané A. Matrimonial choices: the weight of generations. The Example of Burkina Faso. Les relations intergénérationnelles en Afrique. Approche plurielle, Paris, Ceped, 2007; 167-195.
Nguyen H.T., Torbica A., Brenner S., Kiendrébéogo J. A., Tapsoba L., Ridde V., & De Allegri M. Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso: evidence from a cost-effectiveness analysis. Value in Health, 2020; 23(3):300-308. https://doi.org/10.1016/j.jval.2019.10.007
Ridde V., Olivier de Sardan J.P., & Ridde V. From the generalization to the suppression of direct payment: a history of public policies and pilot projects. A public health policy and its contradictions. Free health care in Burkina Faso, Mali and Niger, 2014; 31-49.
Kassambara M. Evaluation of the use of care by members of the compulsory health insurance scheme at the Gabriel Touré University Hospital (Doctoral dissertation, University of Science, Technology and Technology of Bamako).2020.
Mbarki Fatima Zahra. Measurement of the satisfaction of patients benefiting from RAMED hospitalized at the CHR AL FARABI D'OUJDA VIS-VIS DU DIT REGIME [MASTER].2014.
Hajji M.A.. Evaluation of the medical assistance scheme at the prefectural hospital of Salé [MASTER].2014.
Published
Abstract Display: 348 
PDF Downloads: 430 PDF Downloads: 30 How to Cite
Issue
Section
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
How to Cite
.