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    Fee Exemption for Maternal Care in Sub-Saharan Africa: A Review of 11 Countries and Lessons for the Region

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    eResearch_3250.pdf (486.9Kb)
    Date
    2013-07
    Author
    Richard, Fabienne
    Antony, Matthieu
    Witter, Sophie
    Kelley, Allison
    Sieleunou, Isidore
    Kafando, Yamba
    Meessen, Bruno
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    Citation
    Richard, F., Antony, M., Witter, S., Kelley, A., Sieleunou, I., Kafando, Y. & Meessen, B. (2013-07) Fee Exemption for Maternal Care in Sub-Saharan Africa: A Review of 11 Countries and Lessons for the Region, Global Health Governance, vol. 6, pp. 52-72.
    Abstract
    Several countries have recently introduced maternal health care fee exemptions as a quick win approach to reach MDG 5 goals. It has also been argued that these policies were relevant first steps towards universal health coverage (UHC). The scope and contents of the benefits package covered by these policies vary widely. First evaluations raised questions about efficiency and equity. This article offers a more comprehensive view of these maternal health fee exemptions in Africa. We document the contents and the financing of 11 of these policies. Our analysis highlights (1) the importance of balancing different risks when a service is the target of the policy - C-sections address some of the main catastrophic costs, but do not necessarily address the main health risks to women, and (2) the necessity of embedding such exemptions in a national framework to avoid further health financing fragmentation and to reach UHC.
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/3250
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