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dc.contributor.authorWitter, Sophie
dc.contributor.authorArhinful, Daniel Kojo
dc.contributor.authorKusi, Anthony
dc.contributor.authorZakariah-Akoto, Sawudatu
dc.date.accessioned2018-06-29T22:04:10Z
dc.date.available2018-06-29T22:04:10Z
dc.date.issued2007
dc.identifierER2737
dc.identifier.citationWitter, S., Arhinful, D., Kusi, A. & Zakariah-Akoto, S. (2007) The experience of Ghana in implementing a user fee exemption policy to provide free delivery care, Reproductive Health Matters, vol. 15, , pp. 61-71,
dc.identifier.issn0968-8080
dc.identifier.urihttps://doi.org/10.1016/s0968-8080(07)30325-x
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/2737
dc.description.abstractIn resource-poor countries, the high cost of user fees for deliveries limits access to skilled attendance, and contributes to maternal and neonatal mortality and the impoverishment of vulnerable households. A growing number of countries are experimenting with different approaches to tackling financial barriers to maternal health care. This paper describes an innovative scheme introduced in Ghana in 2003 to exempt all pregnant women from payments for delivery, in which public, mission and private providers could claim back lost user fee revenues, according to an agreed tariff. The paper presents part of the findings of an evaluation of the policy based on interviews with 65 key informants in the health system at national, regional, district and facility level, including policymakers, managers and providers. The exemption mechanism was well accepted and appropriate, but there were important problems with disbursing and sustaining the funding, and with budgeting and management. Staff workloads increased as more women attended, and levels of compensation for services and staff were important to the scheme's acceptance. At the end of 2005, a national health insurance scheme, intended to include full maternal health care cover, was starting up in Ghana, and it was not yet clear how the exemptions scheme would fit into it.
dc.format.extent61-71
dc.publisherElsevier
dc.relation.ispartofReproductive Health Matters
dc.titleThe experience of Ghana in implementing a user fee exemption policy to provide free delivery care
dc.typearticle
dcterms.accessRightsnone
dc.description.facultysch_iih
dc.description.volume15
dc.identifier.doihttp://10.1016/S0968-8080(07)30325-X
dc.description.ispublishedpub
dc.description.eprintid2737
rioxxterms.typearticle
qmu.authorWitter, Sophie
dc.description.statuspub
dc.description.number30


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