摘要：Authors B. Keugoung , F. Fouelifack Ymele , J. Dongtsa Mabou , C. Nangue , P. Ngouadjio Kougoum , L. Takoudjou , D. Hercot , J. Meli Ministère de la santé publique, BP 31694, 31694 Yaoundé, Cameroun, Groupe associatif pour la recherche, l’éducation et la santé, GARES-Falaise, Dschang, Cameroun, Maternité principale, hôpital central de Yaoundé, Yaoundé, Cameroun, Service de laboratoire, hôpital central de Yaoundé, Yaoundé, Cameroun, Service d’anatomopathologie, hôpital central de Yaoundé, Yaoundé, Cameroun, Délégation régionale de la santé publique du Littoral, Douala, Cameroun, District de santé de Penka-Michel, Penka-Michel, Cameroun, Institut de médecine tropicale, département de santé publique, Anvers, Belgique, Université de Yaoundé I, Faculté de Médecine et des Sciences Biomédicales, Yaoundé, Cameroun Key words: Sub-Saharan Africa, Cameroon, healthcare financing, free medical care, Bamako Initiative, civil society DOI : 10.1684/mst.2013.0175 Page(s) : 222-4 Published in: 2013 Financial barriers represent a major obstacle to access to health care in sub-Saharan Africa and thus to the implementation of the Bamako Initiative. We describe an experience in which a civil society organization financed a free healthcare campaign in a rural health district in Cameroon. In all, 2,073 patients received free consultations, laboratory tests, and drugs. Adults older than 40 years accounted for 55.7% of all patients. The most frequent diseases were: osteoarticular conditions (24.1%), malaria (20.8%), and intestinal parasitosis (12.5%). In health systems financed mainly by cost recovery, some population needs remain uncovered by health services. There is a need to involve and reinforce the role of civil society in health system financing. It can help to pool more funds and improve the management of health resources to increase financial access to health care for poor people.
关键词：Sub-Saharan Africa; Cameroon; healthcare financing; free medical care; Bamako Initiative; civil society
