TABLE 3-1 Comparison of Financing Approaches

Finance

IRC

Merlin

Drug supply

Free/monthly

Free/monthly (more often with outbreaks)

Savings

Yes

No, revenues spent on incentives for zone bureaus, health centers, and health committee

Support to

Health centers, reference health centers (primary health care) and limited support to hospitals for indigent treatment in Kabare Health Zone. Katana followed with new memorandum of understanding

Health centers, reference health centers, and hospitals (primary and secondary health care)

Type of fee

Bundled fee per episode of illness covering consultation, lab test and drugs (tarif forfaitaire)

Stopped nominal fee in 2001 and adopted variable pricing system for all drugs and services based on 60% of market price.

Exemption (no payment for type of service)

  • Under age 5 consultation

  • Tuberculosis

  • Vaccinations (BCG, tetanus, etc.)

  • All cholera drugs during outbreaks

BDOM also supports chronically ill, such as diabetes and tuberculosis

  • Antenatal care

  • Under age 5 consultation

  • Fefold

  • Fansidar (SP)

  • Vaccinations (BCG, Tetanus, etc.)

  • All cholera drugs during outbreaks



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