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Does increase in utilisation rates alone indicate the success of a user fee removal policy? A qualitative case study from Zambia


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  • Hadley, Mary
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    To provide more comprehensive understanding of utilisation of health facilities in the context of user fee removal policy with a focus on local practices.

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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 103 (2011)
    Issue (Month): 2 ()
    Pages: 244-254

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    Handle: RePEc:eee:hepoli:v:103:y:2011:i:2:p:244-254

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    Keywords: User fees; Utilisation rates; Zambia; Access to health care; Client behaviour; Frivolous use; Health outcomes; Successful policy; Local context; Local practice;


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    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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    1. Masiye, Felix & Chitah, Bona M. & McIntyre, Diane, 2010. "From targeted exemptions to user fee abolition in health care: Experience from rural Zambia," Social Science & Medicine, Elsevier, vol. 71(4), pages 743-750, August.
    2. Jenny Yates & Ros Cooper & Jeremy Holland, 2006. "Social Protection and Health: Experiences in Uganda," Development Policy Review, Overseas Development Institute, vol. 24(3), pages 339-356, 05.
    3. Salla A Munro & Simon A Lewin & Helen J Smith & Mark E Engel & Atle Fretheim & Jimmy Volmink, 2007. "Patient Adherence to Tuberculosis Treatment: A Systematic Review of Qualitative Research," Working Papers id:1107, eSocialSciences.
    4. Chris D. James & Kara Hanson & Barbara McPake & Dina Balabanova & Davidson Gwatkin & Ian Hopwood & Christina Kirunga & Rudolph Knippenberg & Bruno Meessen & Saul S. Morris & Alexander Preker & Yves So, 2006. "To Retain or Remove User Fees?: Reflections on the Current Debate in Low- and Middle-Income Countries," Applied Health Economics and Health Policy, Springer Healthcare | Adis, vol. 5(3), pages 137-153.
    5. Xu, Ke & Evans, David B. & Kadama, Patrick & Nabyonga, Juliet & Ogwal, Peter Ogwang & Nabukhonzo, Pamela & Aguilar, Ana Mylena, 2006. "Understanding the impact of eliminating user fees: Utilization and catastrophic health expenditures in Uganda," Social Science & Medicine, Elsevier, vol. 62(4), pages 866-876, February.
    6. Huber, Joyce H., 1993. "Ensuring access to health care with the introduction of user fees: A Kenyan example," Social Science & Medicine, Elsevier, vol. 36(4), pages 485-494, February.
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