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Economic and Welfare Effects of the Abolition of Health User Fees : Evidence from Uganda

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  • Deininger, Klaus
  • Mpuga, Paul

Abstract

The authors use household level data for Uganda for 1999-2000 and 2002-03, before and after the abolition of user fees for public health services, to explore the effect of this policy on different groups'ability to access health services and morbidity outcomes. They find that the policy change improved access and reduced the probability of sickness in a way that was particularly beneficial to the poor. Although the challenge of maintaining service quality remains, aggregate benefits are estimated to be significantly larger than the estimated shortfalls from the abolition of user fees.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 3276.

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Date of creation: 01 Apr 2004
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Handle: RePEc:wbk:wbrwps:3276

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Keywords: Health Monitoring&Evaluation; Public Health Promotion; Pharmaceuticals&Pharmacoeconomics; Health Systems Development&Reform; Housing&Human Habitats; Health Systems Development&Reform; Housing&Human Habitats; Pharmaceuticals&Pharmacoeconomics; Poverty Assessment; Health Monitoring&Evaluation;

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References

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  1. McPake, Barbara, 1993. "User charges for health services in developing countries: A review of the economic literature," Social Science & Medicine, Elsevier, Elsevier, vol. 36(11), pages 1397-1405, June.
  2. Reinikka, Ritva & Svensson, Jakob, 2003. "Working for God? evualuating service delivery of religious not-for-profit health care providers in Uganda," Policy Research Working Paper Series 3058, The World Bank.
  3. Martine AUDIBERT & Jacky MATHONNAT, 1998. "Cost Recovery in Mauritania: Initial Lessons from Reform," Working Papers 199811, CERDI.
  4. Heller, Peter S., 1982. "A model of the demand for medical and health services in Peninsular Malaysia," Social Science & Medicine, Elsevier, Elsevier, vol. 16(3), pages 267-284, January.
  5. Litvack, Jennie I. & Bodart, Claude, 1993. "User fees plus quality equals improved access to health care: Results of a field experiment in Cameroon," Social Science & Medicine, Elsevier, Elsevier, vol. 37(3), pages 369-383, August.
  6. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. Mcintosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 7(6), pages 509-531.
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Cited by:
  1. Aoife Brick & Anne Nolan & Jacqueline O’Reilly & Samantha Smith, 2012. "Conflicting Financial Incentives in the Irish Health-Care System," The Economic and Social Review, Economic and Social Studies, Economic and Social Studies, vol. 43(2), pages 273–301.
  2. Johnson, Ari & Goss, Adeline & Beckerman, Jessica & Castro, Arachu, 2012. "Hidden costs: The direct and indirect impact of user fees on access to malaria treatment and primary care in Mali," Social Science & Medicine, Elsevier, Elsevier, vol. 75(10), pages 1786-1792.
  3. Deininger, Klaus & Mpuga, Paul, 2005. "Does Greater Accountability Improve the Quality of Public Service Delivery? Evidence from Uganda," World Development, Elsevier, Elsevier, vol. 33(1), pages 171-191, January.
  4. Nolan, Anne & Smith, Samantha, 2012. "The effect of differential eligibility for free GP services on GP utilisation in Ireland," Social Science & Medicine, Elsevier, Elsevier, vol. 74(10), pages 1644-1651.

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