Financing health centres by the community
Synonyms: Funding community health centres locally
Description: Charging households for drugs and services in government health centres and retaining the fees for improving that service, also giving local householders a strong voice in the operation of the facility.
Implementation: About half of Guinea's 350 health centres were practising community financing in 1991. Of these, all the urban-based facilities and a third of the rural clinics were able to cover their operating expenses with income from fees.
Claim: Community financing of health centres is a virtuous necessity because it can help to improve the quality and reliability of services, in part by making health workers more accountable to their clientele.
Counter Claim: Fees substantial enough to cover the full cost of clinical services can discourage utilization by the poor.
Type Classification: D: Detailed strategies