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 |