The University of Southampton
University of Southampton Institutional Repository

Appropriateness of User Fees for Reproductive Health in Malawi

Appropriateness of User Fees for Reproductive Health in Malawi
Appropriateness of User Fees for Reproductive Health in Malawi
The introduction of cost-sharing strategies, such as user-fees, for health care in developing countries has received increasing attention due to declining Government expenditure on health and reduced donor funding. Many developing country Governments face the dilemma of introducing fees for health care while maintaining contraceptive prevalence rates. This study conducted 16 focus group discussions with poor communities in urban and rural areas of Malawi, to identify their views on the affordability of contraception and the perceived impact of user fees on family planning use. The results show that amongst poor communities the long term health benefits of contraception are considered to be greater than a marginal increase in the cost of methods; therefore the introduction of modest fees is likely to have little impact on contraceptive prevalence. Those most likely to be affected by user fees are rural residents, for whom targeted assistance may be required to maintain contraceptive use.
A04/17
Southampton Statistical Sciences Research Institute, University of Southampton
Hennink, Monique
5e084541-850a-457c-8954-3d9d2bf77f09
Madise, Nyovani
2ea2fbcc-50da-4696-a0a5-2fe01db63d8c
Hennink, Monique
5e084541-850a-457c-8954-3d9d2bf77f09
Madise, Nyovani
2ea2fbcc-50da-4696-a0a5-2fe01db63d8c

Hennink, Monique and Madise, Nyovani (2004) Appropriateness of User Fees for Reproductive Health in Malawi (S3RI Applications and Policy Working Papers, A04/17) Southampton, UK. Southampton Statistical Sciences Research Institute, University of Southampton 24pp.

Record type: Monograph (Working Paper)

Abstract

The introduction of cost-sharing strategies, such as user-fees, for health care in developing countries has received increasing attention due to declining Government expenditure on health and reduced donor funding. Many developing country Governments face the dilemma of introducing fees for health care while maintaining contraceptive prevalence rates. This study conducted 16 focus group discussions with poor communities in urban and rural areas of Malawi, to identify their views on the affordability of contraception and the perceived impact of user fees on family planning use. The results show that amongst poor communities the long term health benefits of contraception are considered to be greater than a marginal increase in the cost of methods; therefore the introduction of modest fees is likely to have little impact on contraceptive prevalence. Those most likely to be affected by user fees are rural residents, for whom targeted assistance may be required to maintain contraceptive use.

Text
12492-01.pdf - Other
Download (249kB)

More information

Published date: 22 November 2004

Identifiers

Local EPrints ID: 12492
URI: http://eprints.soton.ac.uk/id/eprint/12492
PURE UUID: c6dd59a7-250b-42e9-8d98-81af202b8a13
ORCID for Nyovani Madise: ORCID iD orcid.org/0000-0002-2813-5295

Catalogue record

Date deposited: 22 Nov 2004
Last modified: 20 Feb 2024 03:20

Export record

Contributors

Author: Monique Hennink
Author: Nyovani Madise ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×