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Protecting the Poor from the Impact of Increased User Charges in Government Health Facilities: What Works?

William Newbrander and Timothy Johnston, October 29, 1998

The seminar’s purpose was to explore the effectiveness of efforts to protect the poor from the impact of increased user fees, which are typically introduced in government clinics in the course of health sector reform. Particular attention was paid to fee waivers granted to individual patients thought to be poor, as one of the most common protection measures employed. William Newbrander reported a study of this topic that he and his colleagues at Management Sciences for Health had undertaken in five countries: Ecuador, Guinea, Indonesia, Kenya, and Tanzania. Tim Johnston presented findings from a study undertaken by the World Bank’s Operations Evaluation Department in Mali (303kb PDF) and Zimbabwe (247kb PDF).

Download the complete seminar report (19kb PDF file).

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