Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System

Prince Comlan Eugene Adjovi; Ibrahima Thiam; Fabienne Fecher

doi:doi:10.11648/j.hep.20200503.12

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Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System

Prince Comlan Eugene Adjovi, Ibrahima Thiam, Fabienne Fecher

Published in International Journal of Health Economics and Policy (Volume 5, Issue 3)

Received: 10 August 2020 Accepted: 31 August 2020 Published: 10 September 2020

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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.

Published in	International Journal of Health Economics and Policy (Volume 5, Issue 3)
DOI	10.11648/j.hep.20200503.12
Page(s)	54-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Governance, Performance, Hospital, Reforms, Health System

References

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APA Style

Prince Comlan Eugene Adjovi, Ibrahima Thiam, Fabienne Fecher. (2020). Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System. International Journal of Health Economics and Policy, 5(3), 54-62. https://doi.org/10.11648/j.hep.20200503.12

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ACS Style

Prince Comlan Eugene Adjovi; Ibrahima Thiam; Fabienne Fecher. Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System. Int. J. Health Econ. Policy 2020, 5(3), 54-62. doi: 10.11648/j.hep.20200503.12

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AMA Style

Prince Comlan Eugene Adjovi, Ibrahima Thiam, Fabienne Fecher. Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System. Int J Health Econ Policy. 2020;5(3):54-62. doi: 10.11648/j.hep.20200503.12

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@article{10.11648/j.hep.20200503.12,
  author = {Prince Comlan Eugene Adjovi and Ibrahima Thiam and Fabienne Fecher},
  title = {Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System},
  journal = {International Journal of Health Economics and Policy},
  volume = {5},
  number = {3},
  pages = {54-62},
  doi = {10.11648/j.hep.20200503.12},
  url = {https://doi.org/10.11648/j.hep.20200503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20200503.12},
  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.},
 year = {2020}
}

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TY  - JOUR
T1  - Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System
AU  - Prince Comlan Eugene Adjovi
AU  - Ibrahima Thiam
AU  - Fabienne Fecher
Y1  - 2020/09/10
PY  - 2020
N1  - https://doi.org/10.11648/j.hep.20200503.12
DO  - 10.11648/j.hep.20200503.12
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 54
EP  - 62
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20200503.12
AB  - 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.
VL  - 5
IS  - 3
ER  -

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Author Information

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

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APA Style

Prince Comlan Eugene Adjovi, Ibrahima Thiam, Fabienne Fecher. (2020). Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System. International Journal of Health Economics and Policy, 5(3), 54-62. https://doi.org/10.11648/j.hep.20200503.12

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ACS Style

Prince Comlan Eugene Adjovi; Ibrahima Thiam; Fabienne Fecher. Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System. Int. J. Health Econ. Policy 2020, 5(3), 54-62. doi: 10.11648/j.hep.20200503.12

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AMA Style

Prince Comlan Eugene Adjovi, Ibrahima Thiam, Fabienne Fecher. Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System. Int J Health Econ Policy. 2020;5(3):54-62. doi: 10.11648/j.hep.20200503.12

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@article{10.11648/j.hep.20200503.12,
  author = {Prince Comlan Eugene Adjovi and Ibrahima Thiam and Fabienne Fecher},
  title = {Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System},
  journal = {International Journal of Health Economics and Policy},
  volume = {5},
  number = {3},
  pages = {54-62},
  doi = {10.11648/j.hep.20200503.12},
  url = {https://doi.org/10.11648/j.hep.20200503.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20200503.12},
  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.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Sectoral Effects of Public Policy Reforms in Benin: Case of the Health System
AU  - Prince Comlan Eugene Adjovi
AU  - Ibrahima Thiam
AU  - Fabienne Fecher
Y1  - 2020/09/10
PY  - 2020
N1  - https://doi.org/10.11648/j.hep.20200503.12
DO  - 10.11648/j.hep.20200503.12
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 54
EP  - 62
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20200503.12
AB  - 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.
VL  - 5
IS  - 3
ER  -

Copy | Download