The reduction and removal of user fees is currently one of the top policy priorities in Africa today and several countries have reduced or abolished user fees. However, there is concern that without due attention to the process of fee removal, the expected utilization and affordability benefits may not be achieved. This policy brief examines the challenges of implementing fee reduction in the Kenyan context, and assesses an innovative approach to alleviate these challenges through direct funding of health facilities.
CREHS policy brief, October 2009, 2 pp.
Reducing user fees: implementation challenges and a possible solution