Removing user fees for health services: A multi-epistemological perspective on access inequities in Senegal
نویسندگان
چکیده
منابع مشابه
Removing user fees for basic health services: a pilot study and national roll-out in Afghanistan.
BACKGROUND User fees for primary care tend to suppress utilization, and many countries are experimenting with fee removal. Studies show that additional inputs are needed after removing fees, although well-documented experiences are lacking. This study presents data on the effects of fee removal on facility quality and utilization in Afghanistan, based on a pilot experiment and subsequent nation...
متن کاملEffect of removing user fees on attendance for curative and preventive primary health care services in rural South Africa.
User fees are used to recover costs and discourage unnecessary attendance at primary care clinics in many developing countries. In South Africa, user fees for children aged under 6 years and pregnant women were removed in 1994, and in 1997 all user fees at all primary health care clinics were abolished. The intention of these policy changes was to improve access to health services for previousl...
متن کاملRemoving user fees to improve access to caesarean delivery: a quasi-experimental evaluation in western Africa
Introduction Mali and Benin introduced a user fee exemption policy focused on caesarean sections in 2005 and 2009, respectively. The objective of this study is to assess the impact of this policy on service utilisation and neonatal outcomes. We focus specifically on whether the policy differentially impacts women by education level, zone of residence and wealth quintile of the household. Meth...
متن کاملImpact on child mortality of removing user fees: simulation model.
OBJECTIVE To estimate how many child deaths might be prevented if user fees were removed in 20 African countries DESIGN Simulation model combining evidence on key health interventions' impacts on reducing child mortality with analysis of the effect of fee abolition on access to healthcare services. RESULTS Elimination of user fees could prevent approximately 233,000 (estimate range 153,000-...
متن کاملAccess to health care for all? User fees plus a Health Equity Fund in Sotnikum, Cambodia.
User fees in health services are a source of much debate because of their potential risk of negative effects on access to health care for the poor. A Health Equity Fund that identifies the poor and pays on their behalf may be an alternative to generally ineffective fee exemption policies. This paper presents the experience of such a Health Equity Fund, managed by a local non-governmental organi...
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ژورنال
عنوان ژورنال: Social Science & Medicine
سال: 2017
ISSN: 0277-9536
DOI: 10.1016/j.socscimed.2017.07.002