Following
the global burden of disease (GBD) approach adopted by the World
Bank’s World Development Report, 1993, a National burden of
disease had been done for
Mauritius
. The
Mauritius
government wanted to utilise the burden of disease estimates,
coupled with cost effectiveness studies to identify and set
priorities for the health sector. This study was to estimate
cost-effectiveness of various interventions in Mauritian context
and combine the findings with burden of disease estimates to
recommend health sector priorities. The project was orchestrated
by the Burden of Diseases Unit at the
Harvard
Center
for Population and Development Studies (HCPDS). The
Institute
of
Health Systems
conducted a sub study on the Demand for services and
Satisfaction with the Mauritius Health System. The study used
personal interviews and focus groups. An exit survey of a
systematically selected sample of in patients (IP) and out
patients (OP) was carried out. These persons who had used the
health care system were interviewed using a structured
questionnaire. Focus groups were conducted with members drawn
from households and members of Local Health Committees (LHC) who
were closely associated with the functioning of the peripheral
health delivery institutions. The quantitative as well as
qualitative data of this study was analysed at the Institute and
a draft report of this project was submitted to HCPDS.
The published HCPDS report titled “The Health Sector in
Mauritius
”, contains substantial sections on the Demand and
Satisfaction study conducted by IHS. Work on this project
started in June 1995 and final report released by August, 1996[1].
The study was sponsored by the Government of Mauritius, funded
by the World Bank, and executed in collaboration with the
Harvard
Center
for Population and Development Studies - Burden of Disease Unit.