Bailey, WilmaGordon-Strachan, GeorgianaLalta, StanleyBarnett, JasperHenry-Lee, AldrieAlleyne, Dillon2010-07-092010-07-092009978-976-40-0073-0http://hdl.handle.net/10625/44119Due to copyright restrictions, this item cannot be sharedThe study examined the impact of user fees on vulnerable sectors of the population in need of preventive services and or affected by diabetes and hypertension. Results suggest that health care costs discouraged utilisation by clients with chronic conditions. Decentralised bodies ignored a key justification for the previous reform programme: to be responsive to community needs. This translated at the health centre level into aggressive discouragement of requests for payment waivers, and therefore a denial of care for the needy. The study and its evidence became a key issue in a forthcoming election campaign.Text202 p. : ill.Application/pdfenUSER FEESJAMAICAHEALTH FINANCINGSOCIAL SECURITYPOLICY MAKINGHEALTH SYSTEMEVIDENCE-BASED PLANNINGHEALTH EQUITYVULNERABLE GROUPSWEST INDIESBook