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Table 3 Health staff perceptions (in %)

From: A process evaluation of user fees abolition for pregnant women and children under five years in two districts in Niger (West Africa)

OUTCOME: Abolition has... Agree completely Agree moderately Agree in part Do not agree at all
...improved service utilization for target populations. 94.1 5.9   
...had positive impacts on how I treat patients. 64 30 2 4
...strengthened my professional experience. 43.8 20.8 16.7 18.7
...allowed me to look after patients better. 63.8 23.4 6.4 6.4
...allowed me to treat more people than usual. 100    
...allowed me to help those who are most vulnerable. 94 6   
...reduced the time spent with each patient. 31.1 26.7 15.6 26.6
...increased my workload in terms of number of patients. 96 2 0 2
...increased my administrative workload. 83.7 8.2 4.1 4
...prevented me from seeing all patients who arrive. 12.8 14.9 17 55.3
...complicated my relationship with patients. 12.2 18.4 10.2 59.2
...obliged me to negotiate with patients who are not sick but want drugs. 63.3 10.2 10.2 16.3
...increased the number of patients who try to abuse the system. 64.7 13.7 9.8 11.8
...made me feel exploited. 31.3 16.7 12.5 39.5
...caused me to burn out professionally. 30 14 20 36
...made me frustrated. 6 12 16 66
...placed me under pressure from patients to give them more drugs. 28.6 24.5 12.2 34.7
...caused me to lose some of my personal income. 4 0 12 84
If patients don't pay for services, they don't value them. 32.7 24.5 22.4 20.4
The population confuses free services with the distribution of free drugs. 65.3 14.3 12.2 8.2
As a health professional, I felt personally affected by the implementation of free services. 83.7 16.3 0 0
IMPLEMENTATION PROCESS     
I was well informed of the procedures for the implementation of the free services. 77.6 12.2 0 10.2
Providing free services was more a decision of the funding agencies than of the government. 68 6 6 20
The strategies used to inform villagers and members of the community about the free services were well organized. 45.1 15.7 13.7 25.5
I was consulted for my opinion on how to implement the free services. 32 16 6 46
I think sufficient quantities of drugs have been provided to support the free services. 33.3 23.5 19.6 23.6
I think the drugs supplied to support the free services arrive on time. 28 40 22 10
The provision of free services would not have worked without financial measures to compensate for cost recovery. 46.9 18.4 6.1 28.6
The provision of free services could not have worked properly without bonuses for the personnel. 36.6 24.5 8.2 30.7
SUSTAINABILITY     
After the NGO leaves, the government will be able to sustain the system of free services. 29.8 12.8 27.7 29.7
I am confident that the government will be able to reimburse free services in the three months following the termination of the NGO's project. 12.5 22.9 22.9 41.7
I am confident that the government will be able to ensure the availability of enough drugs after the termination of the NGO's project. 8.3 18.8 18.8 54.1