Many low-and middle-income countries continue to search for better ways of financing their
health systems. Common to many of these systems are problems of inadequate resource …

In Africa, user fees constitute a financial barrier to access to health services. Increasingly,
international aid agencies are supporting countries that abolish such fees. However, African …

Poor access to health care is one of the greatest impediments to improved health in Africa. In
Zambia, user fees are considered to be partly responsible for substantial disparities in …

Background Removing user fees in primary health care services is one of the most critical
policy issues being considered in Africa. User fees were introduced in many African …

There is currently considerable discussion between governments, international agencies,
bilateral donors and advocacy groups on whether user fees levied at government health …

Since the 1980s user fees for government services have become an accepted financing
option for the health and social sectors in developing countries. Even countries which had a …

During the 1980s and 1990s, health sector reforms to improve the efficiency of health
systems and the quality of care provided were implemented in low-income countries, mainly …

In recent years, governments of several low-income countries have taken decisive action by
removing fully or partially user fees in the health sector. In this study, we review recent …

Inadequate health financing is one of the major challenges health systems in low-income
countries currently face. Health financing reforms are being implemented with an increasing …

Removing user fees could improve service coverage and access, in particular among the
poorest socio-economic groups, but quick action without prior preparation could lead to …