Navigation Links
Good Times Over For Ivory Coasts Ill

As far as health freebies are concerned, the good times are over. As Cte d'Ivoire's (Ivory Coast) peace process moves forward and emergency health care providers start withdrawing, the government has restarted its medical care. This means that health fees are back too.

"[In conflict zones] communities benefited from free health care. Now the communities will have a difficult time paying", Jean Denoman, deputy director general at the Ministry of Health was reported.

For those who support universal free health care, a return to full health care costs will tax the poor. The World Bank and some donors have long argued the merits of user fees for basic health and education, while many aid groups argue that user fees deprive a major portion of the population of basic services and severely diminish standards of living.

In public hospitals in Man and Bouak, Mdecins Sans Frontires (Doctors Without Borders) began providing free health care services after rebels took over the cities in 2002 and government-paid doctors and nurses fled for their lives. But with efforts toward peace advancing, health workers have started returning to the region. MSF pulled out of Bouak public hospital in May and the Man public hospital in July.

"With the withdrawal of MSF, clearly the Ivorian government has the problem of financing the central hospitals of Bouak and Man," Denoman said. "Now the question is: Shall we let these hospitals function without the public's participation? Clearly that would ruin these facilities," he opines. So far the administrations at the two government hospitals continue to provide health services and medicines for free but this cannot last for long.

According to Kouie Jean Plo, head of the Bouak hospital, it is imperative that the government resume fees gradually. "We cannot bring free health services to an abrupt halt," he says. Denoman says that fees may start out at a 50-percent discount "then move pro gressively toward full costs".

Meanwhile, the head of MSF-Belgium in Cote d'Ivoire, Christophe Vavasseur, has expressed concern over the government plans to return to a full cost recovery system by 2008. "This will exclude a large percentage of the population." Health care fees "lead to exclusion", he says. "This has been well documented and our experience in Man confirms it."

In Man, treatment for severe malaria can cost more than two months' average income, according an unpublished MSF report. A Caesarean section costs eight months' income.

According to Vavasseur, health fees also diminish the public's use of health services. MSF found that in 2006, the number of consultations in four facilities in the west, where it provided free services, were 20 percent higher than the number of consultations in all the 79 centers in the region before the war when people used to pay.

"We [at MSF] try as much as possible to provide the data to point out that the real need is revealed by free health care," Vavasseur said. MSF says governments need to keep health costs to a minimum in part by increasing the percentage of their budgets for health services.

Vavasseur argues that when hospitals become dependent on patients' fees they fail to seek other financing mechanisms. "In many countries people stick to this way of thinking that people must pay. They think that people must participate in their health care, and that this way [the health system] will become sustainable. But this is not the case. It can even be counterproductive", he warns.


'"/>




Related medicine news :

1. Smoking Increases The Risk Of Heart Disease By Three Times
2. Mobile Operating Theater to Cut Waiting Times
3. Health Minister Promises New Benchmark for Wait Times
4. Long Patient Waiting Times Force NHS Patients To Seek Treatment Abroad
5. Take it if you can - Tough Times in Life Churn out Greenhorns
6. Kenyan Women Six Times More Likely To Be HIV Positive Than Kenyan Men
7. B C Medical Association Reports on Setting Limits to Waiting Times
8. Rethinking on Best Times for Delivery of Twins
9. Wait Times For Kidney Transplants Differ With Provinces: Report
10. Inordinately Long Waiting Times at A&E Infirmary
11. Federal Plan: Strategies to Cut Down Wait Times for Children’s Surger
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements owned by ... to enhance the health of felines. The formula is all-natural and is made from ... the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract ...
(Date:6/25/2016)... ... 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due to ... a new, often overlooked aspect of head lice: the parasite’s ability to live away from ... common occurrence, but a necessary one in the event that lice have simply gotten out ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, ... at his family verbally and physically. , “When something upset him, he couldn’t control his ... it. He would throw rocks at my other children and say he was going to ...
(Date:6/24/2016)... ... ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for ... $12 an hour by 2020 and then adjusting it yearly to increase at the same ... wage, assure the wage floor does not erode again, and make future increases more predictable. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Revolutionary ... Oticon , industry leaders in advanced audiology ... of Oticon Opn ™, the world,s first internet ... possibilities for IoT devices.      (Photo: ... introduces a number of ,world firsts,: , ...
(Date:6/23/2016)... , June 23, 2016 The vast ... an outpatient dialysis facility.  Treatments are usually 3 times ... hours per visit, including travel time, equipment preparation and ... patient, but especially grueling for patients who are elderly ... a skilled nursing and rehabilitation centers for some duration ...
(Date:6/23/2016)... 2016  Experian Health, the healthcare industry ... patient payment and care experience, today announced ... and services that will enhance the breadth ... These award-winning solutions will enable healthcare professionals ... in an ever-changing environment and redefine front-office ...
Breaking Medicine Technology: