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Impact of user fees removal on facility utilisation in rural Zambia
Includes bibliographical references (leaves 96-105).
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2014
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| _version_ | 1867611319023173632 |
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| access_status_str | Open Access |
| author | Banda, Patrick |
| author2 | Thiede, Michael |
| author_browse | Banda, Patrick Thiede, Michael |
| author_facet | Thiede, Michael Banda, Patrick |
| author_sort | Banda, Patrick |
| collection | Thesis |
| description | Includes bibliographical references (leaves 96-105). |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9455 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9455 Impact of user fees removal on facility utilisation in rural Zambia Banda, Patrick Thiede, Michael Govender, Veloshnee Health Economics Includes bibliographical references (leaves 96-105). User fees were introduced in Zambia as an additional source of revenue in response to the economic down-turn that the country experienced in the early 1990s. There is increasing evidence that user fees are a major barrier to accessing health services especially for the poor and in response the Zambian government abolished user fees in all public health facilities in rural based districts in April 2006. The aim of this study is to provide empirical evidence on the immediate impact of the abolition of user fees in the context of the Zambian health sector so as to identify optimal strategies in the delivery of health care. Both qualitative and quantitative data collection techniques were used to address the research objectives. The study focused on six 6 health facilities in two rural districts. The data collection tools included utilisation data reviews, patient exit polls, providers interviews, focus group discussions, informant interviews and drug availability data reviews. The results demonstrated that, the impact of the abolition of user fees at the district level was dependent on location of the district. Information flow was mainly cited as one of the reasons for the quick response to the user fee policy change. This brings in the need for a more deliberate and appropriately managed communication process when such policy change is being planned. The results of the study revealed that there was an impact on facility utilisation after the removal of user fees. In addition, there were shortages of drugs, low staff morale and poor maintenance of the surroundings. Patient-provider relationships seemed to be strained as a result of the increase in provider workload. 2014-11-09T15:52:11Z 2014-11-09T15:52:11Z 2008 Master Thesis Masters MPH http://hdl.handle.net/11427/9455 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Economics Banda, Patrick Impact of user fees removal on facility utilisation in rural Zambia |
| thesis_degree_str | Master's |
| title | Impact of user fees removal on facility utilisation in rural Zambia |
| title_full | Impact of user fees removal on facility utilisation in rural Zambia |
| title_fullStr | Impact of user fees removal on facility utilisation in rural Zambia |
| title_full_unstemmed | Impact of user fees removal on facility utilisation in rural Zambia |
| title_short | Impact of user fees removal on facility utilisation in rural Zambia |
| title_sort | impact of user fees removal on facility utilisation in rural zambia |
| topic | Health Economics |
| url | http://hdl.handle.net/11427/9455 |
| work_keys_str_mv | AT bandapatrick impactofuserfeesremovalonfacilityutilisationinruralzambia |