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

  • Deininger, Klaus
  • Mpuga, Paul

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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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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  1. 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, vol. 37(3), pages 369-383, August.
  2. Heller, Peter S., 1982. "A model of the demand for medical and health services in Peninsular Malaysia," Social Science & Medicine, Elsevier, vol. 16(3), pages 267-284, January.
  3. 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., vol. 7(6), pages 509-531.
  4. 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.
  5. McPake, Barbara, 1993. "User charges for health services in developing countries: A review of the economic literature," Social Science & Medicine, Elsevier, vol. 36(11), pages 1397-1405, June.
  6. Martine AUDIBERT & Jacky MATHONNAT, 1998. "Cost Recovery in Mauritania: Initial Lessons from Reform," Working Papers 199811, CERDI.
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