Exemption policies and community preferences for tropical endemic diseases in the Bamako initiative programme in Nigeria


Uzochukwu, BSC; Onwujekwe, OE; (2006) Exemption policies and community preferences for tropical endemic diseases in the Bamako initiative programme in Nigeria. Tropical doctor, 36 (3). pp. 132-136. ISSN 0049-4755 DOI: https://doi.org/10.1258/004947506777978334

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Abstract

We determined the actual written policies/guidelines and practices of fee exemptions aimed at the primary health-care level for tropical diseases treatment within the Bamako initiative system and the community's and decision makers' preferences for exemption in Nigeria. Health policy documents from the federal and state ministries of health were reviewed to determine the guidelines for exemptions, services, goods and category of people to receive exemptions. The records of the local government areas, health centres and community health committees were also reviewed to check who had received exemptions and modalities for doing so. In addition, household surveys using questionnaires was conducted. There is no clear-cut national policy regarding exemption. In areas where exemption exists, these are largely unofficial, as no official documents exist to support exemption. A total of 1594 individuals were surveyed. Community members prefer pregnant women, children and patients with TB, malaria, onchocerciasis and leprosy to be exempted from payment of fees: decision makers prefer the poor, children and patients with malaria,TB and leprosy to be exempted from payment for drugs, registration, consultation and preventive services such as immunization and antenatal services. One area of divergence between the preferences of the community and decision makers is the issue of exempting people with malaria and HIV/AIDS.

Item Type: Article
Keywords: EXPERIENCE, Adult, Child, Data Collection, Decision Making, Endemic Diseases, Fees and Charges, Female, HIV Infections, drug therapy, Health Policy, Health Services, economics, Humans, Local Government, Malaria, drug therapy, Male, Nigeria, Pregnancy, Primary Health Care
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 16884613
Web of Science ID: 239729400002
URI: http://researchonline.lshtm.ac.uk/id/eprint/1267866

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