L. E. Meuwissen
Problems of cost recovery implementation in district health care: a case study from Niger
article describes analyzes impact introduction cost recovery system 11 health centres tillabri district niger west africa august 1997 august 1999 study based data collected health workers observations district activities policy meetings literature similar programmes region central question addressed article wellformulated programme implemented accordingly failed succeed system described fits within national health policy framework niger opted introduce fixed attendance fees health centres system introduced part comprehensive package improve accessibility quality organization districts health care discussed problems encountered functioning system unpredictability cost recovery rate drop patients attendance undermining effect serious regular shortages essential generic drugs wholesale dealer discussed supervision control financial drug administration participation population identified key areas interest sustainability cost recovery system