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Journal of Medical Systems

, Volume 31, Issue 6, pp 505–509 | Cite as

Utilization and Costs of Medical Services at Military Health Facilities in Ibadan, Nigeria

  • Akinola Ayoola Fatiregun
  • Ibrahim O. Yisa
  • Aderonke E. Olumide
Original Paper

Abstract

The Nigerian Army introduced user charges in its health care services in 1994. This study attempts to assess possible impact of user charges on the utilization of army health services in Ibadan, Nigeria. This is a descriptive, retrospective study and it involved the review of hospital records from 1992 to 1996 in military health facilities in Ibadan. Yearly consultation rate increased from 339 per 1,000 population in 1992 to 581 per 1,000 population in 1996. While cost of care significantly increased over the years in the army health facilities, services were offered at lower costs when compared with the cost of similar services from non-military medical centers. Utilization of health services is not deterred in spite of the introduction of user charges. Further study was suggested to assess impact.

Keywords

Utilization Costs Medical Services 

References

  1. 1.
    Nigeria Army (NA), Proposed Nigeria Army health insurance scheme, 1996.Google Scholar
  2. 2.
    Nigeria Army (NA), Annual health report for 1995. Office of the Chief of Administration, 1996.Google Scholar
  3. 3.
    Litrack, J., and Bodart, C., User fees and improved quality of health care equals improved access: Results of a field experiment in Cameroon. Soc. Sci. Med. 37(30):369–383, 1993CrossRefGoogle Scholar
  4. 4.
    Waddington, C. J., and Enyimayew, K. A., A price to pay: Part I: The impact of user charges in Ashanti-Akim District, Ghana. Int. J. Health Plann. Manag. 4:17–47, 1983.CrossRefGoogle Scholar
  5. 5.
    De Bethune, X., Alfani, S., and Lahaye, J. P., The influence of an abrupt price increase on health service utilization: Evidence from Zaire. Health Policy Plan. 4(1):76–81, 1989.CrossRefGoogle Scholar
  6. 6.
    Shaw, R. P., Griffin, C., Financing health care in Sub-Saharan Africa through user fees and insurance. Washington, DC: World Bank, pp 14–21, 1995.Google Scholar
  7. 7.
    Martji, M., Ts’oene, P., Spencer, A., Gerler, P., and Bryne, D., Do user fees reduce demand for health care: Insights and limitations of service statistics in Lesotho. In: Shaw, R. P., and Ainsworth, M. (Eds.), Financing health series through user fees and insurance: Country case studies from Sub-Saharan Africa. Washington, DC: World Bank, Population and Human Resources Department, Processed in 1988, in press.Google Scholar
  8. 8.
    Mwabu, G. M, Ainsworth, M., and Nyamete, A., Quality of medical care and choice of medical treatment in Kenya: An empirical analysis. Technical working paper 9. Washington, DC: World Bank, African Technical Department, Human Resources and Poverty Division, 1993.Google Scholar
  9. 9.
    Gertler, P., and Van der Gaag, J., The willingness to pay for medical care: Evidence from two developing countries. Baltimore, MD: The Johns Hopkins University Press.Google Scholar
  10. 10.
    Attah, E. B., Under-utilization of public sector health facilities in Imo State, Nigeria: A study with focus groups. Population, Health and Nutrition Technical Note 86-I. Washington, DC: World Bank, 1986.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Akinola Ayoola Fatiregun
    • 1
  • Ibrahim O. Yisa
    • 1
  • Aderonke E. Olumide
    • 1
  1. 1.College of MedicineUniversity of IbadanIbadanNigeria

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