Show simple item record

dc.contributor.authorWitter, Sophie
dc.contributor.authorArmar-Klemesu, Margaret
dc.contributor.authorDieng, Thierno
dc.date.accessioned2018-06-29T22:04:04Z
dc.date.available2018-06-29T22:04:04Z
dc.date.issued2008
dc.identifierER2731
dc.identifier.citationWitter, S., Armar-Klemesu, M. & Dieng, T. (2008) National fee exemption schemes for deliveries: comparing the recent experiences of Ghana and Senegal, Studies in Health Services Organisation and Policy series, vol. 24, pp. 167-198.
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/2731
dc.descriptionChapter in 'Reducing the financial barriers to access to obstetric care', edited by Richard, F., Witter, S. and De Brouwere, V. Studies in Health Services Organisation and Policy series. Antwerp: ITG Press.
dc.description.abstractContinuing high maternal mortality ratios, especially in Africa, and high discrepancies between richer and poorer households in relation to access to maternal health care and maternal health status have focussed attention on the importance of reducing financial barriers to skilled care. This article compares the findings of two studies on national policies exempting women from user fees for deliveries, conducted in Ghana in 2005-6 and in Senegal in 2006-7. The evaluations used a combination of research methods, including key informant interviews, household surveys, financial flows tracking, health worker incentive surveys, confidential enquiry, clinical case note record extraction, community level interviews and focus group discussions. The detailed findings from each evaluation are presented, followed by the broad lessons learnt from these similar (but not identical) policies. The policies shared goals, and both were implemented in poorer regions initially but then scaled up, using national resources. They demonstrate the potential of fee exemption policies to increase utilisation. The cost per additional assisted delivery was $62 (average) in Ghana and $21 (normal delivery) and $467 (caesarean section) in Senegal. There was also some evidence of reductions in inequalities of access.
dc.format.extent167-198
dc.publisherAntwerp: ITG Press
dc.relation.ispartofStudies in Health Services Organisation and Policy series
dc.titleNational fee exemption schemes for deliveries: comparing the recent experiences of Ghana and Senegal
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume24
dc.description.ispublishedpub
dc.description.eprintid2731
rioxxterms.typearticle
qmu.authorWitter, Sophie
dc.description.statuspub


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record