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Table 6 Complaints brought forward by users to HFC members

From: Social accountability in primary health care in West and Central Africa: exploring the role of health facility committees

Material and financial issues

Health worker performance

High drug prices

Availability of staff

Lack of drugs, equipment

Absence of staff resulting in non-treatment (day)

Quality of drugs (illicit or wrong drugs)

Task shifting (assistant as manager instead of doctor)

Overbilling of drugs

Absence of staff (night)

Financial accessibility in case of emergency

Unfriendly behaviour of health workers and auxiliary staff

High consultation fees

Quality of reception/welcoming of patients who arrive at the health facility

Financial harassment/informal payments including:

 - direct cash payments to staff where the transaction is not recorded and patients are either not given a receipt or are issued a false one

 - double payment (by the health worker and at the official cash payment point)

Detention/bribing of patients who cannot pay their consultation fees

Lack of blood

Inebriated health workers