Évaluation de l’efficacité de l’exemption des frais utilisateurs pour les services VIH/SIDA et tuberculose dans le District de Santé de Ngaoundéré Urbain (Cameroun), 2020–2023
- Author(s): Miwaina¹, Djibrilla Yaouba 3 , Dissongo Jean II 1 , , Djamilatou Leila 2 , Altine Fadimatou 2, , Adala Hayatou 4 , Bita Fouda A 1
- Institution: ¹ Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Cameroun. ² Faculté de Médecine et des Sciences Biomédicales, Université de Garoua 3 Faculté des Sciences, Université de Ngaoundéré 4 Institut Supérieur des Sciences de Technologie de Management et Développement Durable, Ngaoundéré
PAPER DETAILS
- Paper ID:IQRJ-2601006
- Volume :IQRJ V05I01
- Issue:01
- January 2026
- ISSN: 2790-4296(Online)
- ISBN: 978-9956-504-74-9(Print)
Miwaina, Djibrilla Y., Dissongo J., Djamilatou L., Altine F., Adala H., Bita F. Évaluation de l’efficacité de l’exemption des frais utilisateurs pour les services VIH/SIDA et tuberculose dans le District de Santé de Ngaoundéré Urbain (Cameroun), 2020–2023. IQ Research Journal: Vol. 005, Issue 001, 01-2026.pp 061-066
ABSTRACT
HIV/AIDS and tuberculosis remain major public health challenges. To remove financial barriers and accelerate progress toward the “95-95-95” targets, Cameroon implemented a user fee exemption scheme for HIV/AIDS and tuberculosis services. This study assessed the effectiveness of this intervention in the Ngaoundéré Urban Health District.
A cross-sectional analytical study was conducted among 123 participants (health workers, district managers, pharmacists/dispensers) selected through consecutive non-probability sampling. Data were collected using a semi-structured questionnaire and extracted from the DHIS2 platform. Analyses were performed using Sphynx Plus and Microsoft Excel 2019. Chi-square tests were used to assess associations between variables, with a significance level of p ≤ 0.05.
Most respondents were nurses, midwives, or medical and health technicians (66%). Receiving specific training on the intervention (reported by 26% of participants) was significantly associated with better understanding of the project (χ² = 5.94; p ≤ 0.05). Overall perceptions of the intervention were positive, highlighting improved access to care and enhanced treatment adherence. An upward trend in revenues generated through user fees was also observed. However, persistent challenges were reported, including delays in reimbursement of services, difficulties in managing supplies, and communication gaps.
The user fee exemption policy represents a promising strategy to advance Universal Health Coverage in this health district. Strengthening and sustaining this initiative are critical to improving HIV/AIDS and tuberculosis outcomes in the Adamawa Region.