User fees in public hospitals: comparison of three country case studies

Article Abstract:

Public hospitals' use of user fees is looked at for institutions in Jamaica, Honduras and the Dominican Republic. The fees are based more on what the low income person can pay rather than on the real cost of the hospital services. It was found that although the user fees do not cover costs, it is a way to bring in revenue for the institution when collection incentives are in place. One of the side benefits of a user fee system is that it was a step in accountability and responsibility for the hospitals, which in turn can improve the institution. Negative impacts of the system could be the hospital not seeking other funding and the danger that indigent persons might not be served.

General medical & surgical hospitals, Health aspects, Prices and rates, International aspects, Developing countries, User fees, Hospitals, Public, Public hospitals

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Rotten kids or manipulative parents: are children old age security in western Kenya?

Article Abstract:

Children in developing countries are expected to support their aged parents. This is one reason why developing countries continue to have high birth rates. Familial relations among aged parents and their children in western Kenya were analyzed. It was concluded that children provide security to aged parents by giving food, money and domestic assistance. Parents with many children have more assurance of support than those with fewer children. Parents motivate their children to provide support by promising properties through inheritance.

Social aspects, Models, Economic aspects, Parent and child, Parent-child relations, Kenya, Support (Domestic relations), Aged parents, Elderly parents, Intergenerational relations

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The Gender Wage Gap in Three African Countries(*)

Article Abstract:

The wage gap is less between men and women in Ethiopia, Uganda and the Cote d'Ivoire because of the large numbers of women employed in the better-paid public sector. The Neumark method was used to account for the wage gaps in different employment sectors.

Wages, Ethiopia, Cote d'Ivoire, Uganda, Demographic aspects, Wages and salaries

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