Impact of increasing consultation fees on malaria in Africa

Wiener klinische Wochenschrift
Saadou Issifou, Peter Gottfried Kremsner

Abstract

To evaluate the impact of the increase in consultation fees on malaria incidence in children presenting in the outpatient clinic of a privately funded hospital, we measured the impact of two fee increases on the number of pediatric outpatients. A 74% reduction in outpatients and a 78% reduction in malaria cases occurred in a course of four years. No differences were observed in an adjacent public hospital that does not charge consultation fees. This surprisingly strong effect may be the basis for increase in malaria morbidity and mortality, since in the time course of 4 years, an estimated 3000 children did not receive adequate malaria treatment in this region. Furthermore, it may drive parasite resistance, due to inadequate auto-medication.

References

Jan 2, 2001·Transactions of the Royal Society of Tropical Medicine and Hygiene·C H BrandtsP G Kremsner
Feb 24, 2001·Transactions of the Royal Society of Tropical Medicine and Hygiene·E H SyllaP G Kremsner
Feb 14, 2002·Tropical Medicine & International Health : TM & IH·Frederick MugishaRainer Sauerborn
Jun 7, 2002·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Carlos Catão Prates LoiolaPedro Luiz Tauil

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Citations

Nov 2, 2011·Health Policy and Planning·Barbara McPakeEdson Araujo
Nov 26, 2008·Bulletin of the World Health Organization·Mylene Lagarde, Natasha Palmer
Jul 9, 2004·Wiener klinische Wochenschrift·Bertrand Lell
Mar 10, 2010·Wiener klinische Wochenschrift·Heimo LaglerMichael Ramharter
Apr 27, 2005·Lancet·Peter Gottfried Kremsner
Apr 15, 2011·The Cochrane Database of Systematic Reviews·Mylene Lagarde, Natasha Palmer

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