Volume 5, Issue 3, September 2020, Page: 54-62
Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System
Prince Comlan Eugene Adjovi, Thies Applied Economics and Finance Research Centre, Department of Economics and Social Science, University of Thies, Thies, Senegal
Ibrahima Thiam, Thies Applied Economics and Finance Research Centre, Department of Economics and Social Science, University of Thies, Thies, Senegal
Fabienne Fecher, Faculty of Social Sciences, University of Liège, Liège, Belgium
Received: Aug. 10, 2020;       Accepted: Aug. 31, 2020;       Published: Sep. 10, 2020
DOI: 10.11648/j.hep.20200503.12      View  31      Downloads  21
Abstract
The closure of illegal health facilities and the elimination of dual membership of health professionals have been part of health reforms since 2016 in Benin. This research was intended to deeply analyze the immediate effects of new reforms in hospitals and assess governance implications. Methods: The research was a retrospective analysis conducted by a mixed method, using both qualitative and quantitative primary data from three public hospitals and one confessional, from the national public health office and of administration and finances office. Health human resources and their complaints, attendance at health care units, monthly hospital revenues and corrupt practices were used as variables. The research covered the first semesters of 2018 and 2019. The sample was made by reasoned choice. Results: Attendance increased at public hospitals from 12% to 80% and their monthly revenues up to 200% in 2019 and hospitals staffs were present with overload of work. The private hospital suffered a drop of-33% in attendance and-5% in monthly revenues, followed by a staff shortage. Discussion: The reforms have given confidence to public health facilities users and revealed the weak hospitals capacity and difficulties in managing patient flows and staff. Conclusion: There’s a start in improving practices for better hospital performance. Government involvement and technical platforms strengthening are crucial for sustainable results and private hospitals must recruit their own staff.
Keywords
Governance, Performance, Hospital, Reforms, Health System
To cite this article
Prince Comlan Eugene Adjovi, Ibrahima Thiam, Fabienne Fecher, Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System, International Journal of Health Economics and Policy. Vol. 5, No. 3, 2020, pp. 54-62. doi: 10.11648/j.hep.20200503.12
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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