Introduction: The health cheque system is a prepayment mechanism aimed at reducing neonatal
and maternal mortality through improving the management of pregnant women. The pregnant
woman with the health cheque system that she pays at six thousand francs XAF (African
financial community) is covered free of charge for all the care provided by the
cheque system in the health facilities accredited to the health cheque project.
We did a study, with objective to determine thehospital outcome of newborns with a health chequesystem (HCS) compared to those
without healthcheque system. Method: A descriptive cross-sectional study with retrospective data collection
was carried out at the Ngaoundere Regional Hospital from January 2018 to September
2021. Results: During our study period, 2985 newborns were received. We saw an increase in admissions
over the years, particularly in the group of newborns with the health chequesystem. Comparatively, the percentage of newborns cured in
the health cheque system group was 76.73% (n= 1643) versus 77.72% (n= 656) those in the non-health cheque system group. Those
who died were 8.96% (n=192) in the health cheque systemgroup compared to 6.27% (n
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