In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). In HSSF,...

The study was carried out to review the experience with the existing user-fee (pricing) strategies and examine the socioeconomic and demographic factors associated with payment behaviour among contraceptors in urban Bangladesh for selected contraceptive methods, such as injectables, pill, and condom. Data for the study were drawn from a survey of more than 5,000 married women of reproductive ag...

This paper describes two architectures for building Pay-per-Run software systems. These are systems that allow the user to pay for each execution of an application, instead of buying a more expensive user license. This is a new model for software distribution, in which developers charge small fees for each execution in order to increase their user market. We detail each component of the archite...