There were eight physicians per 100,000 persons in the early 2000s. Uganda's elimination of user fees at state health facilities in 2001 has resulted in an 80 percent increase in visits, with over half of this increase coming from the poorest 20 percent of the population. This policy has been cited as a key factor in helping Uganda achieve its Millennium Development Goals and as an example of the importance of equity in achieving those goals. Despite this policy, many users are denied care if they do not provide their own medical equipment, as happened in the highly publicised case of Jennifer Anguko. Poor communication within hospitals, low satisfaction with health services and distance to health service providers undermine the provision of quality health care to people living in Uganda, and particularly for those in poor and elderly-headed households. The provision of subsidies for poor and rural populations, along with the extension of public private partnerships, have been identified as important provisions to enable vulnerable populations to access health services.