Nine misconceptions about free healthcare in sub-Saharan Africa

Abstract:

As universal healthcare gains political momentum, there is a growing international consensus against charging user fees at the point of healthcare delivery. In 1994, South Africa launched the wave of new user fees abolition policies in Africa. In 2010, both the African Union and the UN Secretary General called for free healthcare at the point of service for children under five and pregnant women. However, dismantling a user fees policy that has been in place for over 30 years is no easy task. Not only does expanding free healthcare policies routinely lead to controversy that generally arises when public policies are badly planned, underfunded, and poorly implemented, but certain groups of actors also perceive this move as a threat. However, in most cases, the continued reluctance to make healthcare free in Africa is based not on strong evidence, but rather on misconceptions around the very notion of free care. In this paper, we address nine such misconceptions about free healthcare and provide recent evidence from Africa showing the benefit of eliminating user fees for patients. Our aim is to demonstrate that when free care is properly financed and implemented, which in itself is a major challenge, certain perceptions about the principle of free healthcare turn out to be misconceptions.

View full article:

Valéry Ridde, Ludovic Queuille, Marame Ndour. (2014). Nine misconceptions about free healthcare in sub-Saharan Africa. Development Studies Research: An Open Access Journal, Volume 1(Issue 1), pages 54-63. https://doi.org/10.1080/21665095.2014.925785 Download

A community-based approach to indigent selection is difficult to organize in a formal neighbourhood in Ouagadougou, Burkina Faso: a mixed methods exploratory study.

New article published in International Journal for Equity in Health

Ridde, V., Rossier, C., Soura, A. B., Bazié, F., Kadio, K., & Institut de Recherche en Sciences de la Santé–Ouagadougou (IRSS/CNRST) – Burkina FasoInstitut de Recherche en Sciences de la Santé–Ouagadougou (IRSS/CNRST) – Burkina Faso. (2014). A community-based approach to indigent selection is difficult to organize in a formal neighbourhood in Ouagadougou, Burkina Faso: a mixed methods exploratory study. International Journal for Equity in Health, 13(1), 31. https://doi.org/10.1186/1475-9276-13-31

 

A book chapter will also be publish soon (french only)

Ridde, V., Rossier, C., Soura, A. B., Bazié, F., & Kadio, K. (à paraître). Un vivre ensemble en zone lotie rend difficile une approche communautaire de sélection des indigents de la ville (titre provisoire). In K. Sy (Ed.), Paroles de villes en Afrique. Download

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Welcome to equitesante.org , research sharing site on public health interventions , particularly in a global health context.

Here you will find the scientific work and thoughts of Valery Ridde , his fellow researchers and students.

 

This collection of research documents deals with community-based health interventions in low-income countries and/or with issues concerning the more vulnerable populations in these countries and in Canada.