Objectives To identify the determinants of antenatal care (ANC) utilisation in sub-Saharan
Africa. Design Systematic review. Data sources Databases searched were PubMed, OVID …

Background Performance-based financing (PBF) assumes that subsidizing user fees for
maternal health services to reduce out-of-pocket expenses will expand coverage and …

Introduction The free maternal health policy was implemented in Ghana in 2008 under the
National Health Insurance Scheme (NHIS). The policy sought to eliminate out of pocket …

Introduction The Malawian government recently introduced cost-covering consultation fees
for self-referral patients in tertiary public hospitals. Previously, patients received medicines …

Background Despite a free access to public health services policy in most sub-Saharan
African countries, households still contribute to total health expenditures through out-of …

Background User fees have been reported to limit access to services and increase
inequities. As a result, Kenya introduced a free maternity policy in all public facilities in 2013 …

Background Monitoring financial protection is a key component in achieving Universal
Health Coverage, even for health systems that grant their citizens access to care free-of …

Although many countries are making progress towards achieving the global sustainable
development goals, sub-Saharan Africa (SSA) lags behind. SSA bears a relatively higher …

Background Evidence on effectiveness of user fee exemption policies targeting maternal,
newborn, and child health (MNCH) services is limited for conflict-affected settings. In Burkina …

Purpose This study investigates the effect of user fees on access and waiting time in Nigeria.
For access, the effect of user fees on both preventive and curative care; and the effect of user …