Analysing unofficial user fees in government and non-government hospitals in Uganda

 

Show simple item record

dc.contributor.advisor Thomas, Stephen en_ZA
dc.contributor.author Sonko, Rita Najjemba en_ZA
dc.date.accessioned 2014-11-09T15:51:54Z
dc.date.available 2014-11-09T15:51:54Z
dc.date.issued 2003 en_ZA
dc.identifier.citation Sonko, R. 2003. Analysing unofficial user fees in government and non-government hospitals in Uganda. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/9445
dc.description Bibliography: leaves 83-89. en_ZA
dc.description.abstract Unofficial fees are a common feature in Ugandan health facilities and exist in different forms. This study explores the forms of unofficial fees existing in Ugandan hospitals and compares findings from government and non-governmental hospitals in both rural and urban areas. It also investigates the reasons for or causes of such fees as well as the relationship between unofficial fees and other factors such as quality of care within the hospitals. The overall aim of the study is to analyze the magnitude and impact of unofficial fees on patients' expenditure and thereby make recommendations for improvement in efficiency and equity with regards to out-of-pocket funding. Both qualitative and quantitative interview methods are used to obtain data from service providers and patients in each hospital and a comparison of findings obtained using the two methods is made. The main findings from the study are that unofficial fees are rampant in government hospitals and can be classified into four categories; fees for commodities such as drugs; fees for access to services; fees for services such as laboratory, radiology and surgery and gratuity payments. The latter category is the commonest form reported in non- government hospitals while all the others are rare. Estimates of unofficial fees amount to a significant percentage of patients' expenditure, especially in the cases where surgery and radiology are required especially for rural-based patients. It's also found that most of the patients attending government hospitals pay at least one form of unofficial fees. Unofficial fees were found to be closely associated with poor quality of care in that the latter enhanced an informal economy, which resulted in the fees being charged/paid. The study shows that efficiency and equity (access to quality care and ability to pay) are negatively affected by the practice of collecting unofficial fees. Recommendations for policy makers to address the problem are made as well as suggestions for the best-suited methodology for analysing unofficial fees in the Ugandan context. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Health Economics en_ZA
dc.title Analysing unofficial user fees in government and non-government hospitals in Uganda en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Health Economics Unit en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPH en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Sonko, R. N. (2003). <i>Analysing unofficial user fees in government and non-government hospitals in Uganda</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/9445 en_ZA
dc.identifier.chicagocitation Sonko, Rita Najjemba. <i>"Analysing unofficial user fees in government and non-government hospitals in Uganda."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2003. http://hdl.handle.net/11427/9445 en_ZA
dc.identifier.vancouvercitation Sonko RN. Analysing unofficial user fees in government and non-government hospitals in Uganda. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2003 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9445 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Sonko, Rita Najjemba AB - Unofficial fees are a common feature in Ugandan health facilities and exist in different forms. This study explores the forms of unofficial fees existing in Ugandan hospitals and compares findings from government and non-governmental hospitals in both rural and urban areas. It also investigates the reasons for or causes of such fees as well as the relationship between unofficial fees and other factors such as quality of care within the hospitals. The overall aim of the study is to analyze the magnitude and impact of unofficial fees on patients' expenditure and thereby make recommendations for improvement in efficiency and equity with regards to out-of-pocket funding. Both qualitative and quantitative interview methods are used to obtain data from service providers and patients in each hospital and a comparison of findings obtained using the two methods is made. The main findings from the study are that unofficial fees are rampant in government hospitals and can be classified into four categories; fees for commodities such as drugs; fees for access to services; fees for services such as laboratory, radiology and surgery and gratuity payments. The latter category is the commonest form reported in non- government hospitals while all the others are rare. Estimates of unofficial fees amount to a significant percentage of patients' expenditure, especially in the cases where surgery and radiology are required especially for rural-based patients. It's also found that most of the patients attending government hospitals pay at least one form of unofficial fees. Unofficial fees were found to be closely associated with poor quality of care in that the latter enhanced an informal economy, which resulted in the fees being charged/paid. The study shows that efficiency and equity (access to quality care and ability to pay) are negatively affected by the practice of collecting unofficial fees. Recommendations for policy makers to address the problem are made as well as suggestions for the best-suited methodology for analysing unofficial fees in the Ugandan context. DA - 2003 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2003 T1 - Analysing unofficial user fees in government and non-government hospitals in Uganda TI - Analysing unofficial user fees in government and non-government hospitals in Uganda UR - http://hdl.handle.net/11427/9445 ER - en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record