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Impact of the Community-Based Health Insurance in Rwanda. Health Care Utilization and Financial Sustainability

Формат:      Страниц 92
     мягкая обложка
Mayindo K.    
Книга по Требованию    
2008 руб
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Results from multivariate regression models indicate that increase in CBHI enrollment was statistically associated with a reduction in visits. Government and donors should play an active role in supporting CBHI, especially at their early stage of development. CBHI significantly improved utilization of health services by increasing visits of members by four-fold, while the non members utilization remained unchanged over the same period. Using data from health centers and CBHI schemes in pilot and control health districts, this study assesses the impact of the CBHI scheme on utilization of health services and on financial sustainability. Good risk management and community participation remain key elements for the success of CBHI in Rwanda. The author provides practical recommendations to health policy makers on how to improve the performance of CBHI and its scale up at the national level. The majority of CBHI schemes were not able to cover their operating costs from the revenues collected from members. Community Based Health Insurance (CBHI) was implemented in Rwanda to improve health care utilization for the poor population.
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The practice of modern medicine
I he villages here are village heal h pos s s affed by village medical helpers worki g u der supervisio from he rural heal h ce re. I some primi ive eleme s of he socie ies of developi g cou ries, a d of some developed cou ries, here exis s he belief ha ill ess comes from he displeasure of a ces ral gods a d evil spiri s, from he malig i flue ce of evil disposed perso s, or from a ural phe ome a ha ca ei her he forecas or co rolled. o deal wi h such causes here are ma y varie ies of i dige ous healers who prac ice elabora e ri uals o behalf of bo h he physically ill a d he me ally afflicled. If i is u ders ood ha such beliefs, a d o her forms of shama ism, may provide a basis upo which heal h care ca be based, he primary heal h care may he said o exis almos everywhere. I is o o ly easily available bu also readily accep able, a d of e preferred, o more ra io al me hods of diag osis a d rea me . Al hough such me hods may some imes be harmful, hey may of e be effec ive, especially where he cause is psychosoma ic.

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