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Appropriateness of User Fees for Reproductive Health in Malawi

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

Record type: Monograph (Working Paper)


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.

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Published date: 22 November 2004


Local EPrints ID: 12492
PURE UUID: c6dd59a7-250b-42e9-8d98-81af202b8a13
ORCID for Nyovani Madise: ORCID iD

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Date deposited: 22 Nov 2004
Last modified: 17 Jul 2017 17:03

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