Matches in SemOpenAlex for { <https://semopenalex.org/work/W2287685961> ?p ?o ?g. }
- W2287685961 endingPage "776" @default.
- W2287685961 startingPage "767" @default.
- W2287685961 abstract "Performance-Based Financing (PBF) is a promising approach to improve health system performance in developing countries, but there are concerns that it may inadequately address inequalities in access to care. Incentives for reaching the poor may prove beneficial, but evidence remains limited. We evaluated a system of targeting the poorest of society (‘indigents’) in a PBF programme in Cameroon, examining (under)coverage, leakage and perceived positive and negative effects. We conducted a documentation review, 59 key informant interviews and 33 focus group discussions with community members (poor and vulnerable people—registered as indigents and those not registered as such). We found that community health workers were able to identify very poor and vulnerable people with a minimal chance of leakage to non-poor people. Nevertheless, the targeting system only reached a tiny proportion (≤1%) of the catchment population, and other poor and vulnerable people were missed. Low a priori set objectives and implementation problems—including a focus on easily identifiable groups (elderly, orphans), unclarity about pre-defined criteria, lack of transport for identification and insufficient motivation of community health workers—are likely to explain the low coverage. Registered indigents perceived improvements in access, quality and promptness of care, and improvements in economic status and less financial worries. However, lack of transport and insufficient knowledge about the targeting benefits, remained barriers for health care use. Negative effects of the system as experienced by indigents included negative reactions (e.g. jealousy) of community members. In conclusion, a system of targeting the poorest of society in PBF programmes may help reduce inequalities in health care use, but only when design and implementation problems leading to substantial under-coverage are addressed. Furthermore, remaining barriers to health care use (e.g. transport) and negative reactions of other community members towards indigents deserve attention." @default.
- W2287685961 created "2016-06-24" @default.
- W2287685961 creator A5008418307 @default.
- W2287685961 creator A5015237868 @default.
- W2287685961 creator A5018484856 @default.
- W2287685961 creator A5018785395 @default.
- W2287685961 creator A5044014061 @default.
- W2287685961 creator A5050697890 @default.
- W2287685961 date "2016-02-17" @default.
- W2287685961 modified "2023-10-18" @default.
- W2287685961 title "Targeting the poorest in a performance-based financing programme in northern Cameroon" @default.
- W2287685961 cites W1582873904 @default.
- W2287685961 cites W162093207 @default.
- W2287685961 cites W181397561 @default.
- W2287685961 cites W1956394468 @default.
- W2287685961 cites W1965889986 @default.
- W2287685961 cites W1976770755 @default.
- W2287685961 cites W1998900477 @default.
- W2287685961 cites W2005160669 @default.
- W2287685961 cites W2046034301 @default.
- W2287685961 cites W2059577267 @default.
- W2287685961 cites W2085199617 @default.
- W2287685961 cites W2099706492 @default.
- W2287685961 cites W2111454379 @default.
- W2287685961 cites W2120155874 @default.
- W2287685961 cites W2136002985 @default.
- W2287685961 cites W2140433287 @default.
- W2287685961 cites W2143981995 @default.
- W2287685961 cites W2149003731 @default.
- W2287685961 cites W2152308396 @default.
- W2287685961 cites W2156885153 @default.
- W2287685961 cites W2168190331 @default.
- W2287685961 doi "https://doi.org/10.1093/heapol/czv130" @default.
- W2287685961 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4916320" @default.
- W2287685961 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26888360" @default.
- W2287685961 hasPublicationYear "2016" @default.
- W2287685961 type Work @default.
- W2287685961 sameAs 2287685961 @default.
- W2287685961 citedByCount "13" @default.
- W2287685961 countsByYear W22876859612017 @default.
- W2287685961 countsByYear W22876859612018 @default.
- W2287685961 countsByYear W22876859612019 @default.
- W2287685961 countsByYear W22876859612020 @default.
- W2287685961 countsByYear W22876859612021 @default.
- W2287685961 countsByYear W22876859612022 @default.
- W2287685961 countsByYear W22876859612023 @default.
- W2287685961 crossrefType "journal-article" @default.
- W2287685961 hasAuthorship W2287685961A5008418307 @default.
- W2287685961 hasAuthorship W2287685961A5015237868 @default.
- W2287685961 hasAuthorship W2287685961A5018484856 @default.
- W2287685961 hasAuthorship W2287685961A5018785395 @default.
- W2287685961 hasAuthorship W2287685961A5044014061 @default.
- W2287685961 hasAuthorship W2287685961A5050697890 @default.
- W2287685961 hasBestOaLocation W22876859611 @default.
- W2287685961 hasConcept C144133560 @default.
- W2287685961 hasConcept C159110408 @default.
- W2287685961 hasConcept C160735492 @default.
- W2287685961 hasConcept C162324750 @default.
- W2287685961 hasConcept C162853370 @default.
- W2287685961 hasConcept C175444787 @default.
- W2287685961 hasConcept C17744445 @default.
- W2287685961 hasConcept C189326681 @default.
- W2287685961 hasConcept C199539241 @default.
- W2287685961 hasConcept C27415008 @default.
- W2287685961 hasConcept C2776007630 @default.
- W2287685961 hasConcept C2908647359 @default.
- W2287685961 hasConcept C29122968 @default.
- W2287685961 hasConcept C50522688 @default.
- W2287685961 hasConcept C56995899 @default.
- W2287685961 hasConcept C71924100 @default.
- W2287685961 hasConcept C83864248 @default.
- W2287685961 hasConcept C99454951 @default.
- W2287685961 hasConceptScore W2287685961C144133560 @default.
- W2287685961 hasConceptScore W2287685961C159110408 @default.
- W2287685961 hasConceptScore W2287685961C160735492 @default.
- W2287685961 hasConceptScore W2287685961C162324750 @default.
- W2287685961 hasConceptScore W2287685961C162853370 @default.
- W2287685961 hasConceptScore W2287685961C175444787 @default.
- W2287685961 hasConceptScore W2287685961C17744445 @default.
- W2287685961 hasConceptScore W2287685961C189326681 @default.
- W2287685961 hasConceptScore W2287685961C199539241 @default.
- W2287685961 hasConceptScore W2287685961C27415008 @default.
- W2287685961 hasConceptScore W2287685961C2776007630 @default.
- W2287685961 hasConceptScore W2287685961C2908647359 @default.
- W2287685961 hasConceptScore W2287685961C29122968 @default.
- W2287685961 hasConceptScore W2287685961C50522688 @default.
- W2287685961 hasConceptScore W2287685961C56995899 @default.
- W2287685961 hasConceptScore W2287685961C71924100 @default.
- W2287685961 hasConceptScore W2287685961C83864248 @default.
- W2287685961 hasConceptScore W2287685961C99454951 @default.
- W2287685961 hasIssue "6" @default.
- W2287685961 hasLocation W22876859611 @default.
- W2287685961 hasLocation W22876859612 @default.
- W2287685961 hasLocation W22876859613 @default.
- W2287685961 hasLocation W22876859614 @default.
- W2287685961 hasLocation W22876859615 @default.
- W2287685961 hasLocation W22876859616 @default.
- W2287685961 hasOpenAccess W2287685961 @default.