Financing health services through user fees and insurance: case studies from Sub-Saharan Africa
Material type:
TextSeries: World Bank Discussion Papers: Africa Technical Department SeriesPublication details: Washington, D.C. World Bank 1995Edition: No. 294Description: xi, 239pISBN: - 0-8213-3396-8
- W 74 .S5
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.
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