
Contents
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23.1 Introduction 23.1 Introduction
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23.2 The Methodological Approach 23.2 The Methodological Approach
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23.2.1 Economic Evaluation Framework 23.2.1 Economic Evaluation Framework
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23.2.1.1 Specification of the Healthcare Financing Program 23.2.1.1 Specification of the Healthcare Financing Program
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23.2.1.2 Specification of the Comparator 23.2.1.2 Specification of the Comparator
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23.2.1.3 Defining the Analytic Perspective and Time Horizon 23.2.1.3 Defining the Analytic Perspective and Time Horizon
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23.2.1.4 Cost Analysis 23.2.1.4 Cost Analysis
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23.2.1.5 Effectiveness Assessment or Impact Evaluation 23.2.1.5 Effectiveness Assessment or Impact Evaluation
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23.2.1.6 Economic Evaluation Analyses 23.2.1.6 Economic Evaluation Analyses
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23.2.1.7 Efficiency 23.2.1.7 Efficiency
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23.3 Design and Methods 23.3 Design and Methods
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23.4 Economic Evaluations of Cameroon’s Healthcare Financing Programs 23.4 Economic Evaluations of Cameroon’s Healthcare Financing Programs
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23.5 Central Issues of the Practice of Economic Evaluations of Health Financing Programs in Cameroon 23.5 Central Issues of the Practice of Economic Evaluations of Health Financing Programs in Cameroon
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23.6 Conclusion 23.6 Conclusion
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References References
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23 Economic Evaluations of Health Financing Programs
Get accessEric Tchouaket Nguemeleu, University of Québec
Stephanie Robins, University of Québec
Isidore Sieleunou, Research for Development International
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Published:26 January 2023
Cite
Abstract
For several decades Cameroon’s healthcare system has faced a multitude of challenges. These challenges are associated with observed shifts in the country’s demographic profile, epidemiology, lifestyle, technological advances, and environment change. Health outcomes are among the poorest in the world. Cameroon’s medical infrastructure and available human resources fail to meet the demand for care. Public financing accounts for only 3% of the national budget, thus Cameroonians spend large shares of their household budget on healthcare. Cameroon has benefited from national and international financial support for healthcare. This has helped establish 31 healthcare financing programmes (HFP) in Cameroon. This chapter reviews the practice of economic and efficiency evaluations of HFP in Cameroon. It also presents the main challenges faced when conducting these assessments. The chapter stresses the need for continuous monitoring and evaluation of Cameroon’s healthcare sector financing, both in the current COVID-19 pandemic as well as in the post-pandemic period. Such critical appraisal of current HFP is necessary to achieve optimal, effective, efficient and sustainable investment that can promote healthcare for the Cameroonian population over the long term.
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