caa a22 4500 397520255 CHVBK 20180308164630.0 cr unu---uuuuu 161202e199506 xx s 000 0 eng 10.1093/heapol/10.2.181 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.2.181 Sale of drugs and health care utilization in a health care district in Zaire [Elektronische Daten] [XAVIER COURTOIS, JEROME DUMOULIN] Health centres of Idjwi district (Zaire) have been self-financed through the selling of drugs since 1985. Medical care is expensive and its use is low (24 visits per year per 100 inhabitants). In 1989 the medical team tried to reduce the cost of visits by changing the prices of drugs and prescriptions. A limited control was set up to assess this intervention. The study showed that although prescribed drug costs were stabilized compared to inflation, there was no increase in the use of medical care. Moreover, the reduction of drug profit margins for health centres seriously affected the health care institution by causing a drop in income. Six months after the intervention the monthly accounts showed a deficit in 6 centres out of 8. The need for health care centres to be serf-financing is a major limiting factor in the use of health care in Idjwi district. There are no easy solutions for health centre managers that satisfy both low-cost access to care and health care self-financing. Some minimal financial participation from the state is required. Only then can the concept of financing health care through the selling of drugs be operational. © 1995 Oxford University Press Research reports nationallicence COURTOIS XAVIER Centre Hospitalier d'Annecy, France aut DUMOULIN JEROME CNRS, Grenoble, France aut Health Policy and Planning Oxford University Press 10/2(1995-06), 181-185 0268-1080 10:2<181 1995 10 heapol https://doi.org/10.1093/heapol/10.2.181 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.2.181 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- COURTOIS XAVIER Centre Hospitalier d'Annecy, France aut NATIONALLICENCE 700 1- DUMOULIN JEROME CNRS, Grenoble, France aut NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/2(1995-06), 181-185 0268-1080 10:2<181 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford