Lutte contre la pauvreté et accès aux soins : un exemple de Fonds de Solidarité à Port-au-Prince
Now that universal health care is recognized as a priority, particular attention is being paid to different types of welfare systems. This paper presents a solidarity fund initiative set up in Haut Martissant (Port-au-Prince).Origin and definition: The system was put in place thanks to a partnership...
সংরক্ষণ করুন:
| প্রকাশিত: | URI:https://journals.openedition.org/factsreports, |
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| প্রধান লেখক: | |
| বিন্যাস: | Article ou chapitre numérique |
| ভাষা: | Anglais |
| প্রকাশিত: |
Field Actions Science Reports
2014
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| বিষয়গুলি: | |
| অনলাইন ব্যবহার করুন: | Accès Université d'Orléans et IFPM |
| সংক্ষিপ্ত: | Now that universal health care is recognized as a priority, particular attention is being paid to different types of welfare systems. This paper presents a solidarity fund initiative set up in Haut Martissant (Port-au-Prince).Origin and definition: The system was put in place thanks to a partnership between ATD Quart Monde and the Service Œcuménique d’Entraide. It is based on a fund that enables very poor families to have access to primary and secondary health care. At the end of 2012, 707 families had signed up for the system, for a total of 2,932 people, including 577 children under five. An evaluation confirmed the precarious living conditions of the population concerned. Most of the families are forced to depend on the informal economy for their day-to-day survival. A comparison between a sample of families who benefit from the system and a control sample showed that the first group had better access to care, and was less likely to be deterred from seeking treatment by financial considerations. The system limits catastrophic health expenditure. An annual payment of US$ 14 per person covered is required to maintain the fund.Comments: The system requires substantial human and financial resources. If it is assocaited with other initiatives pursuing the same objectives, it could act as a stepping-stone toward universal health care coverage. Certain aspects call for deeper study, notably the system’s impact on the quality of care and on the state of health of the covered population. |
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