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

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  • Klaus Deininger
  • Paul Mpuga

Abstract

Household level data for Uganda for 1999/2000 and 2002/3, before and after the abolition of user fees for public health services, are used to explore the impact of this policy on different groups' ability to access health services and morbidity outcomes. We 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. Copyright 2005, Oxford University Press.

Suggested Citation

  • Klaus Deininger & Paul Mpuga, 2005. "Economic and Welfare Impact of the Abolition of Health User Fees: Evidence from Uganda," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 14(1), pages 55-91, March.
  • Handle: RePEc:oup:jafrec:v:14:y:2005:i:1:p:55-91
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    Citations

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    Cited by:

    1. Chitalu M. Chama-Chiliba and Steven F. Koch, 2014. "Assessing regional variation in the effect of the removal of user fees on institutional deliveries in rural Zambia," Working Papers 427, Economic Research Southern Africa.
    2. Steven F. Koch, 2012. "The Abolition of User Fees and the Demand for Health Care: Re-Evaluating the Impact," Working Papers 201219, University of Pretoria, Department of Economics.
    3. V. Ridde & I. Agier & A. Jahn & O. Mueller & J. Tiendrebéogo & M. Yé & M. De Allegri, 2015. "The impact of user fee removal policies on household out-of-pocket spending: evidence against the inverse equity hypothesis from a population based study in Burkina Faso," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(1), pages 55-64, January.
    4. Anna S. Brink & Steven F. Koch, 2013. "The 1996 User Fee Abolition in South Africa: A Difference-in-Difference Analysis," Working Papers 201332, University of Pretoria, Department of Economics.
    5. repec:bla:sajeco:v:85:y:2017:i:2:p:242-258 is not listed on IDEAS
    6. Jann Lay, 2010. "MDG Achievements, Determinants, and Resource Needs: What Has Been Learnt?," GIGA Working Paper Series 137, GIGA German Institute of Global and Area Studies.

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