This article reviews methodologies and international experience related to costing and
pricing health services for health care purchasers. The main factors affecting price-setting …

Cost recovery was introduced in Mauritania in 1993. Analysis of the Mauritanian experience
provides a number of key points to the discussion surrounding the contribution of user fees …

OBJECTIVE: Analysis of the implementation process for a national user fees abolition policy
aimed at children under age five organized in Niger since October 2006. METHODS: This …

Abstract Since the Bamako Initiative was launched in 1988, many African countries have
embarked on comprehensive primary health care programs relying, at least partially, on …

Patient user charges are widespread in health systems worldwide and are an increasingly
controversial aspect of health financing policy. This paper discusses the current plan in …

Background User fees have been shown to constitute a major barrier to the utilisation of
health-care, particularly in low-income countries such as the Democratic Republic of Congo …

Background User fee removal policies have been extensively evaluated in relation to their
impact on access to care, but rarely, and mostly poorly, in relation to their impact on …

After introducing user charges in government hospitals and the presence of similar charges
in the private health sector, the Tanzanian government established a policy for protecting …

In designing country health care programs to achieve the goals of the Alma Alta declaration
of 'Health for All', developing countries have been confronted with the problem of increased …

Objective–The first wave of experiences of exemptions policies suggested that poverty-
based exemptions, using individual targeting, were not effective, for practical and political …