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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, 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. 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.
    2. Lay, Jann, 2010. "MDG Achievements, Determinants, and Resource Needs: What Has Been Learnt?," GIGA Working Papers 137, GIGA German Institute of Global and Area Studies.
    3. Chitalu M. Chama-Chiliba & 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.
    4. Steven F. Koch, 2017. "User Fee Abolition and the Demand for Public Health Care," South African Journal of Economics, Economic Society of South Africa, vol. 85(2), pages 242-258, June.
    5. Parmar, Divya & Banerjee, Aneesh, 2019. "How do supply- and demand-side interventions influence equity in healthcare utilisation? Evidence from maternal healthcare in Senegal," Social Science & Medicine, Elsevier, vol. 241(C).
    6. Aurélia Lépine & Mylène Lagarde & Alexis Le Nestour, 2018. "How effective and fair is user fee removal? Evidence from Zambia using a pooled synthetic control," Health Economics, John Wiley & Sons, Ltd., vol. 27(3), pages 493-508, March.
    7. Steven F. Koch, 2013. "User Fee Abolition in South Africa: Re-Evaluating the Impact?," Working Papers 201331, University of Pretoria, Department of Economics.
    8. Jelena Arsenijevic & Milena Pavlova & Wim Groot, 2014. "Out-of-pocket payments for public healthcare services by selected exempted groups in Serbia during the period of post-war healthcare reforms," International Journal of Health Planning and Management, Wiley Blackwell, vol. 29(4), pages 373-398, October.
    9. Klaus Deininger & Anja Crommelynck & Gloria Kempaka, 2005. "Impact of AIDS on Family Composition, Welfare, and Investment: Evidence from Uganda," Review of Development Economics, Wiley Blackwell, vol. 9(3), pages 303-324, August.
    10. 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.
    11. 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.
    12. Gerald Manthalu, 2019. "User fee exemption and maternal health care utilisation at mission health facilities in Malawi: An application of disequilibrium theory of demand and supply," Health Economics, John Wiley & Sons, Ltd., vol. 28(4), pages 461-474, April.

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