Attitudes of health care professionals towards Mutual Health Organizations: evidence from two regions in the Northwest Province of Cameroon
Mutual Health Organizations (MHOs) can be a potential means to reduce barriers to health care in low-income countries with poor access to health care and high health care costs for the population. One important challenge is the relationship between MHOs and health care professionals (HCPs). Our study evaluates HCPs experiences of, and attitudes towards MHOs.
Subjects and Methods
A total of 210 HCPs from three private and two public clinics in Kumbo and Bamenda (Cameroon) were interviewed with a structured questionnaire, where answers are quantified by a five-point ordinal scale.
We identified regional and institutional differences. HCPs in Kumbo and in private clinics tend to have a more positive attitude towards MHOs than in Bamenda and in public clinics (mean 1.66 vs. 2.02, respectively 1.72 vs. 2.05,). HCPs in Bamenda and in public clinics report more negative experiences with MHO members (mean 2.86 vs. 3.67, respectively 2.72 vs. 3.56) and rank quality of health care lower.
Our findings underline the important role of HCPs in the context of MHOs; therefore, programs should aim to involve HCPs in respect of regional and institutional differences.
KeywordsMutual health organizations Community based health insurance Health personnel Developing countries Health service
- Atim C (1998) The contribution of mutual health organizations to financing, delivery and access to health care: synthesis of research in nine West and Central African countries. http://pdf.usaid.gov/pdf_docs/Pnach273.pdf. Accessed 15 Dec 2013
- Donfouet P, Essombe J, Mahieu P, Malin E (2011) Social capital and willingness-to-pay for community-based health insurance in rural Cameroon. Glob J Health Sci 3:142–49. http://www.ccsenet.org/journal/index.php/gjhs/article/view/8642/7300. Accessed 10 Nov 2015
- Fischer R, Lun V (2008) Measuring cognition and motivation across cultural groups. In: Handbook of motivation and cognition across cultures. Academic, San Diego, pp 567–590Google Scholar
- Maestad O, Torsvik G (2008) Improving the quality of health care when health workers are in short supply. CMI Working Pape, Christian Michelsen Institute, Bergen, NorwayrGoogle Scholar
- MINSANTE (2006) Plan stratégique finale pour la promotion et le développement des mutuelles de santé au Cameroun Yaounde. http://www.cm-minsante-drh.com. Accessed 12 Jan. 2014
- MINSANTE (2009): Strategie sectorielle de la Santé 2001–2010, Yaoundé. http://cm-minsante-drh.com/site/images/stories/SSS_2001_2015_Doc_final.pdf. Accessed 12 January 2014
- Mutizwa-Mangiza D (1998) The impact of health sector reform on public sector health worker motivation in Zimbabwe Partnerships for Health Reform Project. Major Applied Research 5, Working paper 4. http://www.hfgproject.org/wp-content/uploads/2015/02/The-Impact-of-Health-Sector-Reform-on-Public-Sector-Health-Worker-Motivation-in-Zimbabwe.pdf. Accessed 3 Aug 2014
- North West Special Fund for Health and EPOS Health Management (2012) Restructuring of mutual health organizations supported by GIZ in Cameroon 2011–2012. http://www.nwrfundforhealth.org/html/pdf/The%20restructuring%20of%20MHOs%20supported%20by%20GIZ%20in%20Cameroon%20Documentation%20of%20the%20process.pdf. Accessed 24 Nov 2015
- Nyemeck B (2007) Community pre-payment on health care and estimation of the willingness-to-pay in Cameroon: evidence in rural households in the centre region. Twelfth African Econometric Society Conference, Cape Town, South Africa. http://www.researchgate.net/publication/228555857. Accessed 12 Jan 2014
- Prytherch H, Leshabari M, Wiskow C, Aninanya GA, Kakoko DC, Kagone M, Burghardt J, Kynast-Wolf G, Marx M, Sauerborn R (2012) The challenges of developing an instrument to assess health provider motivation at primary care level in rural Burkina Faso, Ghana and Tanzania. Glob Health Action 5:1–18. doi:10.3402/gha.v5i0.19120 PubMedGoogle Scholar
- Sachs JD, Ahluwalia IJ, Amoako KY, Aninat E, Cohen D (2001) Macroeconomics and health: investing in health for economic development—report of the Commission on Macroeconomics and Health. World Health Organization, Geneva. http://apps.who.int/iris/bitstream/10665/42435/1/924154550X.pdf. Accessed 24 Nov 2015
- Spaan E, Mathijssen J, Tromp N, McBain F, Have A, Baltussen R (2012) The impact of health insurance in Africa and Asia: a systematic review. Bull World Health Organ 90:685–692. DOI:10.2471/BLT.12.102301
- WHO (2006) The World Health Report 2006: working together for health. World Health Organization, Geneva. http://www.who.int/whr/2006/en/. Accessed 6 Jan 2014
- WHO (2008) The World Health Report 2008: primary health care now more than ever. World Health Organization, Geneva. http://www.who.int/whr/2008/en/. Accessed 6 Jan 2014
- Wietler B (2010) Mutual health organisations in Sub-Saharan Africa: opportunities and challenges. Discussion Papers on Social Protection, Gesellschaft für technische Zusammenarbeit, Eschborn, GermanyGoogle Scholar