Removal of user fees for caesareans and under-fives in northern Sudan: A review of policy implementation and effectiveness

International Journal of Health Planning and Management

Volumn 28, Issue 1, 2013, Pages

  Witter, Sophie ^a   Khalid Mousa, Khalda ^b   Abdel Rahman, Manar E ^c   Hussein Al Amin, Rania ^b   Saed, Mohammed ^b  

^a UNIVERSITY OF ABERDEEN   (United Kingdom)

^b FEDERAL MINISTRY OF HEALTH   (Sudan)

^c UNIVERSITY OF KHARTOUM   (Sudan)

Author keywords

Child health; Emergency obstetric care; Exemption policies; Health financing; Sudan; User fees

Indexed keywords

CHILD HEALTH; HEALTH EXPENDITURE; HEALTH INSURANCE; HEALTH SERVICES; LITERATURE REVIEW; POLICY IMPLEMENTATION; RESEARCH WORK; USER FEE; WOMENS HEALTH;

ARTICLE; CESAREAN SECTION; CHILD HEALTH CARE; ECONOMICS; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH SERVICE; HUMAN; INFANT; MEDICAL FEE; NEWBORN; ORGANIZATION AND MANAGEMENT; PREGNANCY; PRESCHOOL CHILD; PROGRAM EVALUATION; STATISTICS; SUDAN; STATISTICS AND NUMERICAL DATA;

CESAREAN SECTION; CHILD HEALTH SERVICES; CHILD, PRESCHOOL; DELIVERY OF HEALTH CARE; FEES, MEDICAL; FEMALE; FINANCING, GOVERNMENT; HEALTH EXPENDITURES; HEALTH POLICY; HUMANS; INFANT; INFANT, NEWBORN; MATERNAL HEALTH SERVICES; PREGNANCY; PROGRAM EVALUATION; QUALITY OF HEALTH CARE; SUDAN;

SUDAN;

EID: 84874564018     PISSN: 07496753     EISSN: 10991751     Source Type: Journal    
DOI: 10.1002/hpm.2146     Document Type: Article

References (24)

1. Bitran R, Giedion U. 2003. Waivers and exemptions for health services in developing countries. World Bank: Washington, DC, Social Protection Discussion Paper No. 0308.
2. Burnham G, Pariyo G, Galiwango E, Wabwire-Mangen F. 2004. Discontinuation of cost sharing in Uganda. Bull World Health Organ 82(3): 187-195.
3. Fafchamps M, Minten B. 2003. Public Service Provision, User Fees and Political Turmoil. Centre for the Study of African Economies: Oxford.
4. Federal Ministry of Health. 2007. 15-year Health Sector Strategy: Investing in Health and Achieving the MDGs (2007-2011). FMoH: Khartoum.
5. Federal Ministry of Health. 2009. Final Report on the Health Mapping Survey for the Northern States, 2008. FMoH, WHO, UNICEF, GAVI, Khartoum.
6. Federal Ministry of Health, Central Bureau of Statistics. 2006. Sudan Demographic and Health Survey. FMoH/CBS: Khartoum.
7. Gilson L. 2003. User Fees: The South African Experience. www.fic.nih.gov/dcpp/ppts/gilson1.ppt.
8. Hogan M, Foreman K, Ahn S, et al. 2010. Maternal mortality for 181 countries, 1980-2008: a systematic analysis of progress towards Millennium Development Goal 5. Lancet 375(9726): 1609-1623.
9. Meessen B. 2009. Removing User Fees in the Health Sector in Low-income Countries: A Policy Guidance Note for Programme Managers. UNICEF: New York.
10. Meessen B, Hercot D, Noirhomme M, et al. 2011. Removing user fees in the health sector: a review of policy processes in six sub-Saharan African countries. Health Policy Plan Supplement 2(26): ii16-ii29.
11. Ministry of Health. 2009. Process and Impact Evaluation of the Removal of User Fees in the Health Sector in Zambia: Preliminary Findings. University of Zambia; Ministry of Health; LSHTM; UCT: Lusaka.
12. Molestin F, Ridde V. 2009. The Abolition of User fees for Health Services in Africa: Lessons from the Literature. University of Montreal: Montreal.
13. Mwabu G, Mwanzia J, Liambila W. 1995. User charges in government health facilities in Kenya: effect on attendance and revenue. Health Policy Plan 10(2): 164-170.
14. Penfold S, Harrison E, Bell J, Fitzmaurice A. 2007. Evaluation of the delivery-fee-exemption policy in Ghana: population estimates of changes in delivery service utilisation in two regions. Ghana Med J 41(3): 100-109.
15. Ridde V, Morestin F. 2010. A scoping review of the literature on the abolition of user fees in health care services in Africa. Health Policy Plan 26(1): 1-11.
16. Ridde V, Robert E, Meessen B. 2012. A literature review of the disruptive effects of user fee exemption policies on health systems. BMC Public Health 12(289).
17. Sudan NHA team. 2010. Sudan National Health Accounts 2008. Federal Ministry of Health: Khartoum.
18. Witter S. 2009. Service- and population-based exemptions: are these the way forward for equity and efficiency in health financing in low income countries? Adv Health Econ Health Serv Res 21: 249-286.
19. Witter S. 2010. Mapping User Fees for Health Care in Low-income Countries-Evidence from a Recent Survey. HLSP Institute: London.
20. Witter S, Babiker M. 2005. Costs and Affordability of Health care in Khartoum State: Results of a Household Survey. Save the Children (UK): Khartoum.
21. Witter S, Richard F, De Brouwere V. 2008. Learning lessons and moving forward: how to reduce financial barriers to obstetric care in low-income contexts. Stud Health Serv Organ Policy 24: 277-304.
22. Witter S, Adjei S, Armar-Klemesu M, Graham W. 2009. Providing free maternal health care: ten lessons from an evaluation of the national delivery exemption policy in Ghana. Glob Health Action 2.
23. Witter S, Dieng T, Mbengue D, Moreira I, De Brouwere V. 2010a. The free delivery and caesarean policy in Senegal-how effective and cost-effective has it been? Health Policy Plan 25(5): 384-392.
24. Witter S, Khalid K, Hussein R, et al. 2010b. Free Health Care for Under-five Children and Pregnant Women in Northern Sudan: Progress So Far and Recommendations for the Future. Federal Ministry of Health: Khartoum.