2014
DOI: 10.1186/s12913-014-0504-6
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Picking up the bill - improving health-care utilisation in the Democratic Republic of Congo through user fee subsidisation: a before and after study

Abstract: BackgroundUser fees have been shown to constitute a major barrier to the utilisation of health-care, particularly in low-income countries such as the Democratic Republic of Congo (DRC). Importantly, such barriers can lead to the exclusion of vulnerable individuals from health-care. In 2008, a donor-funded primary health-care programme began implementing user fee subsidisation in 20 health zones of the DRC. In this study, we quantified the short and long-term effects of this policy on health-care utilisation.Me… Show more

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Cited by 16 publications
(12 citation statements)
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“…In a country with 64% of the population under the poverty line, user fees represent an important barrier to health service utilization. Their removal, combined with other interventions to improve quality of care, is likely to have some short term benefits [49]. At the same time, as user fees are a major source of funding for health workers' incentives, schemes proposing their abolition need to be implemented with caution to avoid further informalization of health care [50].…”
Section: Health System Factors Influencing Decision Making and Servicmentioning
confidence: 99%
“…In a country with 64% of the population under the poverty line, user fees represent an important barrier to health service utilization. Their removal, combined with other interventions to improve quality of care, is likely to have some short term benefits [49]. At the same time, as user fees are a major source of funding for health workers' incentives, schemes proposing their abolition need to be implemented with caution to avoid further informalization of health care [50].…”
Section: Health System Factors Influencing Decision Making and Servicmentioning
confidence: 99%
“…If applicable, the analysis should take into account the data hierarchy. Before after study (BA) As for CBA but without data for a control group of clusters [52] . An uncontrolled comparison is made between frequencies of outcomes for the two time points.…”
Section: Part 2: “Quasi-experimental” Designs Used By Health Care Evamentioning
confidence: 99%
“…Therefore, hospitals purchase and hold priciest therapeutic inventory items to congregate potential future transactions by ensuring its availability (Hashmi, Amirah, & Yusof, 2020b). Whereas, stocked-out affects healthcare services (Maini et al, 2014). accessories of worth 5.6 billion PKR only for PIC, which was a huge amount (Rashid & Amirah, 2017).…”
Section: Introductionmentioning
confidence: 99%