User fees abolition policy in Niger : comparing the under five years exemption implementation in two districts

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dc.contributor.authorRidde, Valéry
dc.contributor.authorDiarra, Aïssa
dc.contributor.authorMoha, Mahaman
dc.date.accessioned2015-01-21T13:15:53Z
dc.date.available2015-01-21T13:15:53Z
dc.date.copyright2010
dc.date.issued2010
dc.description.abstractObjective: Analysis of the implementation process for a national user fees abolition policy aimed at children under age five organized in Niger since October 2006. Methods: This was a study of contrasted cases.Twodistricts were selected, Keita and Abalak; Keita is supported by an international NGO. In 2009, we carried out socio-anthropological surveys in all the health facilities of both districts and qualitative interviews with 211 individuals. Results: Keita district launched the policy before Abalak did, and its implementation was more effective. The populations and the health workers of both districts were relatively well aware of the user fees abolition. Both districts experienced significant delays in the reimbursement of treatments provided free of charge in the health centres (9 months in Keita, 24 months in Abalak). The presence of the NGO compensated for the State’s shortcomings, particularly with respect to maintaining the drug supply, which became difficult because of payment delays. In Abalak, district officials reinstated user fees. Conclusions: The technical relevance of user fees abolition is undermined by the State’s lack of preparation for its funding and organizational management.en
dc.formatTexten
dc.format.extent1 digital file (p. 219-225)en
dc.format.mimetypeApplication/pdf
dc.identifier.citationRidde, V., Diarra, A., & Moha, M. (2011). User fees abolition policy in Niger: Comparing the under five years exemption implementation in two districts. Health Policy, 99, 219-225. doi:10.1016/j.healthpol.2010.09.017en
dc.identifier.issn0168-8510
dc.identifier.urihttp://hdl.handle.net/10625/53568
dc.language.isoen
dc.publisherElsevieren
dc.subjectABOLITIONen
dc.subjectUSER FEESen
dc.subjectEXEMPTIONen
dc.subjectNIGERen
dc.subjectEQUITYen
dc.subjectHEALTH POLICYen
dc.subjectCHILD HEALTHen
dc.subjectNON-GOVERNMENTAL ORGANIZATIONSen
dc.subjectAFRICAen
dc.titleUser fees abolition policy in Niger : comparing the under five years exemption implementation in two districtsen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderElsevier Ireland Ltd.
idrc.dspace.accessIDRC Onlyen
idrc.noaccessDue to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d'auteur, le texte intégral de cet extrant de recherche n'est pas accessible dans la Bibliothèque numérique du CRDI, et il n'est pas possible d'en faire la demande à la Bibliothéque du CRDI.en
idrc.project.componentnumber105309001
idrc.project.number105309
idrc.project.titleAbolition of Direct Payment for Health Services in West Africaen
idrc.recordsserver.bcsnumberIC01-4313-62
idrc.rims.adhocgroupIDRC SUPPORTEDen

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