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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
Session: Meeting the Costs of Health Care
4038.0: Tuesday, December 13, 2005: 8:30 AM-10:00 AM
Meeting the Costs of Health Care
This session examines topics related to health care financing schemes in low-resource communities. From user fees and expenditures, to measuring efficiency of hospital resource utilization, reducing economic barriers to health care and improving quality of care, the presentations reflect the importance of adequate and accessible health care to resource-constrained settings. Specifically, the presentations will discuss: (1) potential risk factors for catastrophic health spending in developing countries and the effects on household welfare over time, using Peru as a case study; (2) health-seeking behavior affected by waiver of user fees among vulnerable populations in the Kafue District of Zambia; (3) the impact of community-based health financing schemes (e.g. risk pooling) on the utilization of reproductive health services in Ghana, Senegal, and Mali; (4) community-based health insurance schemes in Mali, and resulting utilization of child health services (preventive as well as curative), socio-economic factors that contribute to joining voluntary insurance schemes, and (5) analyses of national health expenditure trends as tools to monitor resource utilization in hospitals with the objective of increased efficiency with which available resources are used.
Learning Objectives: At the conclusion of the session, the participant will be able to (1) identify potential risk factors that can make households vulnerable to catastrophic health spending and the resulting effect on household well-being, (2) examine the effectiveness of different approaches to reduce economic barriers to preventive and curative health services for low-resource communities, and (3) to examine the value of using national health expenditure trend analyses as a tool in the monitoring of hospital resource utilization and its impact on resource efficiency.
Moderator(s):Richard A. Yoder, PhD, MPH
8:30 AMIntroductory Remarks
8:35 AMImpact of a user fee waiver pilot on health seeking behavior of vulnerable populations in Kafue District, Zambia  [ Recorded presentation ]
Yann Derriennic, Katherine Wolf, MPH, Maureen Daura, Mwangala Namushi Kalila, Ruth Hankede, C. Natasha Hsi, MPH
8:53 AMFinancial protection in Peru: Measuring risk factors for catastrophic health expenditures and their effects on families over time  [ Recorded presentation ]
Laurel E. Hatt, MPH
9:11 AMEffectiveness of community-based health financing schemes in increasing utilization of reproductive health services
Caroline Quijada, MHS, Owen Smith, MPA, Sara L. Sulzbach, MPH, Tania Dmytraczenko, PhD, Francois Diop, PhD
9:29 AMCommunity-based health insurance and child health in Mali
Marty Makinen, PhD
9:47 AMConcluding Remarks
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:International Health
Endorsed by:Maternal and Child Health; Population, Family Planning, and Reproductive Health; Public Health Nursing; Socialist Caucus
CE Credits:CME, Health Education (CHES), Nursing

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA