Designing better user fee systems
The Lessons of User Fee Experience in Africa [health sector]
Authors:
L. Gilson
Publisher:
Health Reform Online , 1996
Focuses on African countries’ experience with introducing and implementing user fees for health care to draw lessons concerning their potential as a mechanism for supporting sustainable health care financing and the critical issues that need to be considered in implementation. It draws heavily on a number of cross-country reviews of user fee experience. These reviews emphasize that countries have not realized many of the theoretical benefits of user fees because of implementation difficulties. Thus presenting case studies of good practice is difficult. Rather, the most discernible lessons pertain to implementation problems and requisites for surmounting them. [author]
