background in early 1990s, tanzania like other african countries, adopted health sector reform (hsr). the most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. it was within the realm of hsr process, user fees were introduced in the health sector. along with user fees, various typ...

The focus of family planning programmes has shifted away from an emphasis on controlling fertility towards helping individuals achieve their reproductive goals. This article seeks to expand knowledge about the quality of integrated services from the perspective of clients at health facilities in KwaZulu-Natal. The results from 300 structured interviews with clients visiting health facilities fo...

the marked shift in the patterns of drug use in iran, from opium smoking to injecting drug use, has led to serious health-related outcomes. this study was designed to explore characteristics of people who inject drugs (pwid) in tehran, iran. nine hundred and four pwid were recruited from treatment and harm reduction facilities, as well as drug user hangouts in public areas in tehran. participan...

abstract: purpose: this paper aims to discuss different aspects of development and increaseding library fundsing is throughbased on service fees. it also attemps to and identifying solutions in this fieldmatter. methodology: in this paper, factors such as the type of library, services, environments and facilities in order needed to develop and implement strategies to for increasing the financia...

Poor oral health among low-income people is gaining attention as a significant health care problem. Key barriers to dental services include low rates of dental insurance coverage, limited dental benefits available through public insurance programs, and a lack of dentists willing to serve low-income patients, according to findings from the Center for Studying Health System Change's (HSC) 2007 si...

The costs and effectiveness of asthma action plans for children were evaluated in a cross-sectional economic analysis. Direct health care and indirect costs, nights with symptoms, and asthma attacks were measured in 879 Ontario children with asthma. From a societal perspective, the total annual costs of the asthma action plan and the control groups were CDN$6,948 and CDN$6,140 per patient, resp...