Purpose This study investigates the effect of user fees on access and waiting time in Nigeria. For access, both preventive curative care; at public healthcare facilities were examined. User are vital for fiscal sustainability provision most African economies. Its imposition could debar by poor while its removal can reduce quality care induce longer time. Design/methodology/approach The wave 3 N...

sweeping US$130-billion health care reform plan, the country faces huge obstacles to progress in what’s been described as the world’s largest health care experiment. The plan centres on quickly reforming hospital management while delivering universal access to primary health care through national insurance schemes. But roadblocks have arisen, according to new research presented at the annual wo...

OBJECTIVE To assess the effects of user charges on the uptake of health services in low- and middle-income countries. METHODS A systematic search of 25 social science, economics and health literature databases and other sources was performed to identify and appraise studies on the effects of introducing, removing, increasing or reducing user charges on the uptake of various health services in...

BACKGROUND While more and more West African countries are implementing public user fees exemption policies, there is still little knowledge available on this topic. The long time required for scientific production, combined with the needs of decision-makers, led to the creation in 2010 of a project to support implementers in aggregating knowledge on their experiences. This article presents a tr...

User fees are used to recover costs and discourage unnecessary attendance at primary care clinics in many developing countries. In South Africa, user fees for children aged under 6 years and pregnant women were removed in 1994, and in 1997 all user fees at all primary health care clinics were abolished. The intention of these policy changes was to improve access to health services for previousl...

Today, there is an unmistakable shift in international consensus away from private health financing, including the use of user fees toward public financing mechanisms (notably tax financing), to achieve universal health coverage (UHC). This is, however, much the same as an earlier consensus reached at the WHO"s World Health Assembly at Alma-Ata in 1978. When considering the full circle journey ...