User fee exemption policies in Mali: sustainability jeopardized by the malfunctioning of the health system

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User 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...

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A literature review of the disruptive effects of user fee exemption policies on health systems

BACKGROUND Several low- and middle-income countries have exempted patients from user fees in certain categories of population or of services. These exemptions are very effective in lifting part of the financial barrier to access to services, but they have been organized within unstable health systems where there are sometimes numerous dysfunctions. The objective of this article is to bring to l...

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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...

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ژورنال

عنوان ژورنال: BMC Health Services Research

سال: 2015

ISSN: 1472-6963

DOI: 10.1186/1472-6963-15-s3-s8