background access to appropriate and affordable healthcare is needed to achieve better health outcomes in africa. however, access to healthcare remains low, especially among the poor. in zambia, poor access exists despite the policy by the government to remove user fees in all primary healthcare facilities in the public sector. the paper has two main objectives: (i) to examine the factors assoc...

BACKGROUND User fees have generally fallen out of favor across Africa, and they have been associated with reductions in access to healthcare. We examined the effects of the introduction and removal of user fees on outpatient attendances and new diagnoses of HIV, malaria, and tuberculosis in Neno District, Malawi where user fees were re-instated at three of 13 health centres in 2013 and subseque...

although globalization has created ample opportunities and spaces to share experiences and information, the diffusion of ideas, especially in global health, is primarily influenced by the unequal distribution of economic, political and scientific powers around the world. these ideas in global health are generally rooted in high-income countries (hics), and then reach low- and middle-income coun...