Table 1 Average monthly numbers of patients at centres by whether user fees were charged
User fees group (periods in which fees were charged) | Period 1: Before user fees at CHAM (July 2012 to June 2013) | Period 2: User fees at all CHAM centres (July 2013 to June 2015) | Period 3: Removal of user fees at Matope (July 2015 to October 2015) | |
|---|---|---|---|---|
Total outpatient attendances | MOH Facilities without fees | 21,818 (9,629) [100] | 21,193 (3,089) [97] | 18,611 (2,409) [85] |
CHAM Facilities with Fees in Period 2 and 3 | 1,875 (453) [100] | 602 (133) [32] | 726 (298) [39] | |
CHAM Facility with Fees in Period 2 | 2,695 (845) [100] | 391 (135) [15] | 2,227 (271) [83] | |
CHAM Facility with Fees in All periods | 364 (110) [100] | 252 (121) [69] | 133 (31) [37] | |
All Centres | 26,752 (10,266) [100] | 22,624 (3,170) [85] | 21,642 (2,598) [81] | |
Total new malaria diagnoses, under 5 s | MOH Facilities without fees | 2,744 (588) [100] | 2,317 (780) [84] | 1,806 (225) [66] |
CHAM Facilities with Fees in Period 2 and 3 | 331 (272) [100] | 257 (117) [78] | 385 (341) [116] | |
CHAM Facility with Fees in Period 2 | 305 (194) [100] | 63 (27) [21] | 183 (44) [60] | |
CHAM Facility with Fees in All periods | 123 (60) [100] | 83 (57) [67] | 21 (16) [17] | |
All Centres | 3,558 (815) [100] | 2,753 (899) [77] | 2,395 (272) [67] | |
Total new malaria diagnoses, over 5 s | MOH Facilities without fees | 4,397 (1,551) [100] | 4,193 (1,718) [95] | 2,938 (294) [67] |
CHAM Facilities with Fees in Period 2 and 3 | 435 (301) [100] | 199 (139) [46] | 319 (159) [73] | |
CHAM Facility with Fees in Period 2 | 467 (57) [100] | 105 (57) [22] | 373 (112) [80] | |
CHAM Facility with Fees in All periods | 112 (21) [100] | 84 (57) [75] | 21 (26) [19] | |
All Centres | 5,569 (1,550) [100] | 4,680 (1,891) [84] | 3,627 (413) [65] | |
Total new TB diagnoses | MOH Facilities without fees | 13 (4) [100] | 9 (4) [69] | 12 (6) [92] |
CHAM Facilities with Fees in Period 2 and 3 | 0 (0) [−] | 0 (0) [−] | 1 (2) [−] | |
CHAM Facility with Fees in Period 2 | 1 (1) [100] | 0 (1) [0] | 1 (1) [100] | |
CHAM Facility with Fees in All periods | 0 (1) [−] | 0 (1) [−] | 0 (0) [−] | |
All Centres | 15 (5) [100] | 9 (3) [60] | 14 (5) [93] | |
New confirmed HIV+ patient, aged 15-49 | MOH Facilities without fees | 95 (43) [100] | 100 (92) [105] | 89 (23) [94] |
CHAM Facilities with Fees in Period 2 and 3 | 20 (33) [100] | 7 (4) [35] | 9 (4) [45] | |
CHAM Facility with Fees in Period 2 | 15 (10) [100] | 6 (4) [40] | 7 (6) [47] | |
CHAM Facility with Fees in All periods | 2 (1) [100] | 1 (1) [50] | 1 (2) [50] | |
All Centres | 129 (59) [100] | 114 (95) [88] | 114 (14) [88] |