TY - BOOK AU - Shaw, R.P. (ed.)|Ainsworth, M. (ed.) TI - Financing health services through user fees and insurance: case studies from Sub-Saharan Africa SN - 0-8213-3396-8 AV - W 74 .S5 PY - 1995/// CY - Washington, D.C. PB - World Bank KW - Health|Health Services|Health Expenditures|Delivery of Health Care|Insurance N1 - Presents studies that reveal the prospects and the potential for user fees and self-financing health insurance not just as a way of raising more money, but as tools that can help improve efficiency, equity, sustainability and private sector participation in national health systems. User fees are emphasised as a form of cost-sharing because private, out-of-pocket expenditures for health account for nearly one-half of total health expenditures in Africa. Presents country experiences that give the benefits to be gained by carefully designed user-charge policies. Emphasises self-financing health insurance, which is seen to offer Sub-Saharan Africa opportunities to develop better health care systems ER -