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dc.contributor.authorWitter, Sophie
dc.contributor.authorKhalid, K.
dc.contributor.authorAbdel-Rahman, M.
dc.contributor.authorHussein, R.
dc.contributor.authorSaed, M.
dc.date.accessioned2018-06-29T22:04:07Z
dc.date.available2018-06-29T22:04:07Z
dc.date.issued2012-10
dc.identifierER2735
dc.identifier.citationWitter, S., Khalid, K., Abdel-Rahman, M., Hussein, R. & Saed, M. (2012) 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, , , ,
dc.identifier.issn7496753
dc.identifier.urihttp://dx.doi.org/10.1002/hpm.2146
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/2735
dc.description.abstractIn 2008, the Government of Sudan launched a policy of free curative care for under-fives and caesareans. This paper presents the findings of a review of this policy, on the basis of research conducted in five focal states of northern Sudan in 2010. Policy implementation was assessed using four research tools: key informant interviews, exit interviews, a facility survey, and analysis of facility finances and the cost of the package of care. The findings point to important weaknesses in implementation, such as unclear specification of the exact target group and package of care and inadequate funding. Despite this, service utilisation appears to have responded, at least in the short term. The findings also highlight the urgent need for improved access to basic health care and financial protection against health care costs in northern Sudan (for those with and without national health insurance membership). This review contributes to the growing literature on the selective removal of user fees for priority services. It indicates the range of challenges to effective implementation (strategic, financial and organisational). Some of these are particular to Sudan, but many are shared, and indicate important lessons for improving access to and quality of care for women and children in Africa. Copyright 2012 John Wiley & Sons, Ltd.
dc.publisherWiley
dc.relation.ispartofInternational Journal of Health Planning and Management
dc.titleRemoval of user fees for caesareans and under-fives in northern Sudan: a review of policy implementation and effectiveness
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_iih
dc.identifier.doihttp://10.1002/hpm.2146
dc.description.ispublishedpub
dc.description.eprintid2735
rioxxterms.typearticle
qmu.authorWitter, Sophie
dc.description.statuspub


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