The impact and cost-effectiveness of user fee exemption by contracting out essential health package services in Malawi
نویسندگان
چکیده
منابع مشابه
The effect of user fee exemption on the utilization of maternal health care at mission health facilities in Malawi
The Government of Malawi has signed contracts called service level agreements (SLAs) with mission health facilities in order to exempt their catchment populations from paying user fees. Government in turn reimburses the facilities for the services that they provide. SLAs started in 2006 with 28 out of 165 mission health facilities and increased to 74 in 2015. Most SLAs cover only maternal, neon...
متن کاملProtocol: a realist review of user fee exemption policies for health services in Africa
Background Four years prior to the Millenium Development Goals (MDGs) deadline, low- and middle-income countries and international stakeholders are looking for evidence-based policies to improve access to healthcare for the most vulnerable populations. User fee exemption policies are one of the potential solutions. However, the evidence is disparate, and systematic reviews have failed to provid...
متن کاملUser fee exemption policies in Mali: sustainability jeopardized by the malfunctioning of the health system
In Mali, where rates of attendance at healthcare facilities remain far below what is needed, three user fee exemption policies were instituted to promote access to care. These related to HIV/AIDS treatment, as of 2004, caesarean sections, since 2005, and treatment of malaria in children under five and pregnant women, since 2007. Our qualitative study compared these three policies, looking at th...
متن کاملImplementation of Ghana’s Health User Fee Policy and the Exemption of the Poor: Problems and Prospects
Like many other African countries, Ghana has been implementing a cost-sharing policy in its health sector since the 1990s. The adoption of this policy and the consequent charging of user fees for health services was due to stagnating economies and associated budgetary constraints and increasing gaps between supply and demand for basic social services that have been characteristic of African cou...
متن کاملInequities in accessibility to and utilisation of maternal health services in Ghana after user-fee exemption: a descriptive study
INTRODUCTION Inequities in accessibility to, and utilisation of maternal healthcare services impede progress towards attainment of the maternal health-related Millennium Development Goals. The objective of this study is to examine the extent to which maternal health services are utilised in Ghana, and whether inequities in accessibility to and utilization of services have been eliminated follow...
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ژورنال
عنوان ژورنال: BMJ Global Health
سال: 2019
ISSN: 2059-7908
DOI: 10.1136/bmjgh-2018-001286