Removing user fees to improve access to caesarean delivery: a quasi-experimental evaluation in western Africa

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Removing 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...

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Abolishing User Fees in Africa

In its 2008 annual report, the World Health Organization (WHO) urged countries to " resist the temptation to rely on user fees " [1, p. 26]. Indeed, the consensus in the scientific community is that user fees have harmful effects on health care use and household budgets, especially for the poorest [2]. Still, as the WHO observes, " …most of the world's health-care systems continue to rely on th...

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Removing user fees for facility-based delivery services: a difference-in-differences evaluation from ten sub-Saharan African countries.

BACKGROUND Several countries in sub-Saharan Africa have recently adopted policies that remove user fees for facility-based delivery services. There is little rigorous evidence of the impact of these policies on utilization of delivery services and no evaluations have examined effects on neonatal mortality rates (NMR). In this article, we estimate the causal effect of removing user fees on the p...

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ژورنال

عنوان ژورنال: BMJ Global Health

سال: 2018

ISSN: 2059-7908

DOI: 10.1136/bmjgh-2017-000558