Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda

The authors use household level data for Uganda for 1999-2000 and 2002-03, before and after the abolition of user fees for public health services, to explore the effect of this policy on different groups' ability to access health services and...

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Main Authors:	Deininger, Klaus, Mpuga, Paul
Format:	Policy Research Working Paper
Language:	English en_US
Published:	World Bank, Washington, D.C. 2013
Subjects:	ECONOMICS OF HEALTH HEALTH BEHAVIOR WELFARE PUBLIC HEALTH SERVICES USER FEES HEALTH ASPECTS OF POVERTY ACCOUNTABILITY AGED AGGREGATE SPENDING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTIBIOTICS BENEFIT ANALYSIS BRIBERY CAPACITY BUILDING CASE STUDIES CASE STUDY CLINICS COMMUNITY INFORMATION COMMUNITY SURVEY CONCEPTUAL FRAMEWORK CONSULTATION FEES COST RECOVERY COST SHARING CREDIT CONSTRAINTS DATA AVAILABILITY DATA SOURCES DEATHS DECENTRALIZATION DELIVERY SYSTEMS DEVELOPING COUNTRIES DEVELOPING COUNTRY DISEASE CONTROL DISPENSARIES DISTRICTS DRUGS DWELLING ECONOMIC ACTIVITY ECONOMIC CHARACTERISTICS ECONOMIC DATA ECONOMIC GROWTH EMPIRICAL EVIDENCE ENVIRONMENTAL HEALTH EXCHANGE RATE EXTERNALITIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH CENTRES HEALTH DELIVERY HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH SURVEYS HEALTH SYSTEM HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD CHARACTERISTICS HOUSEHOLD HEAD HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS HOUSEHOLDS IMPROVED ACCESS INCOME DISTRIBUTION INDIVIDUAL LEVEL INFANT MORTALITY INPATIENT CARE INTERVENTION IRON MALARIA MEASLES MEDICAL EQUIPMENT MEDICATION MEDICINES MORBIDITY MORTALITY NURSING NUTRITION NUTRITION PROGRAMS OPERATING COSTS OUTCOME VARIABLES OVERALL COSTS PALLIATIVE CARE PARENTS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLIO POOR GAIN PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICE PROVISION PUBLIC SERVICES QUALITY OF HEALTH CARE REPRESENTATIVE SURVEY RURAL AREAS SANITARY CONDITIONS SERVICE DELIVERY SERVICE QUALITY SOCIAL SERVICES SOCIO-ECONOMIC INDICATORS STIS SURGERY TRADITIONAL HEALTH CARE URBAN AREAS WATER SUPPLY WORKERS
Online Access:	http://documents.worldbank.org/curated/en/2004/04/3578285/economic-welfare-effects-abolition-health-user-fees-evidence-uganda http://hdl.handle.net/10986/14303

id	okr-10986-14303
recordtype	oai_dc
spelling	okr-10986-143032021-04-23T14:03:20Z Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda Deininger, Klaus Mpuga, Paul ECONOMICS OF HEALTH HEALTH BEHAVIOR WELFARE PUBLIC HEALTH SERVICES USER FEES HEALTH ASPECTS OF POVERTY ACCOUNTABILITY AGED AGGREGATE SPENDING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTIBIOTICS BENEFIT ANALYSIS BRIBERY CAPACITY BUILDING CASE STUDIES CASE STUDY CLINICS COMMUNITY INFORMATION COMMUNITY SURVEY CONCEPTUAL FRAMEWORK CONSULTATION FEES COST RECOVERY COST SHARING CREDIT CONSTRAINTS DATA AVAILABILITY DATA SOURCES DEATHS DECENTRALIZATION DELIVERY SYSTEMS DEVELOPING COUNTRIES DEVELOPING COUNTRY DISEASE CONTROL DISPENSARIES DISTRICTS DRUGS DWELLING ECONOMIC ACTIVITY ECONOMIC CHARACTERISTICS ECONOMIC DATA ECONOMIC GROWTH EMPIRICAL EVIDENCE ENVIRONMENTAL HEALTH EXCHANGE RATE EXTERNALITIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH CENTRES HEALTH DELIVERY HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH SURVEYS HEALTH SYSTEM HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD CHARACTERISTICS HOUSEHOLD HEAD HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS HOUSEHOLDS IMPROVED ACCESS INCOME DISTRIBUTION INDIVIDUAL LEVEL INFANT MORTALITY INPATIENT CARE INTERVENTION IRON MALARIA MEASLES MEDICAL EQUIPMENT MEDICATION MEDICINES MORBIDITY MORTALITY NURSING NUTRITION NUTRITION PROGRAMS OPERATING COSTS OUTCOME VARIABLES OVERALL COSTS PALLIATIVE CARE PARENTS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLIO POOR GAIN PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICE PROVISION PUBLIC SERVICES QUALITY OF HEALTH CARE REPRESENTATIVE SURVEY RURAL AREAS SANITARY CONDITIONS SERVICE DELIVERY SERVICE QUALITY SOCIAL SERVICES SOCIO-ECONOMIC INDICATORS STIS SURGERY TRADITIONAL HEALTH CARE URBAN AREAS USER FEES WATER SUPPLY WORKERS The authors use household level data for Uganda for 1999-2000 and 2002-03, before and after the abolition of user fees for public health services, to explore the effect of this policy on different groups' ability to access health services and morbidity outcomes. They find that the policy change improved access and reduced the probability of sickness in a way that was particularly beneficial to the poor. Although the challenge of maintaining service quality remains, aggregate benefits are estimated to be significantly larger than the estimated shortfalls from the abolition of user fees. 2013-07-01T15:55:09Z 2013-07-01T15:55:09Z 2004-04-01 http://documents.worldbank.org/curated/en/2004/04/3578285/economic-welfare-effects-abolition-health-user-fees-evidence-uganda http://hdl.handle.net/10986/14303 English en_US Policy Research Working Paper;No.3276 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, D.C. Publications & Research :: Policy Research Working Paper Publications & Research Africa Uganda
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ECONOMICS OF HEALTH HEALTH BEHAVIOR WELFARE PUBLIC HEALTH SERVICES USER FEES HEALTH ASPECTS OF POVERTY ACCOUNTABILITY AGED AGGREGATE SPENDING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTIBIOTICS BENEFIT ANALYSIS BRIBERY CAPACITY BUILDING CASE STUDIES CASE STUDY CLINICS COMMUNITY INFORMATION COMMUNITY SURVEY CONCEPTUAL FRAMEWORK CONSULTATION FEES COST RECOVERY COST SHARING CREDIT CONSTRAINTS DATA AVAILABILITY DATA SOURCES DEATHS DECENTRALIZATION DELIVERY SYSTEMS DEVELOPING COUNTRIES DEVELOPING COUNTRY DISEASE CONTROL DISPENSARIES DISTRICTS DRUGS DWELLING ECONOMIC ACTIVITY ECONOMIC CHARACTERISTICS ECONOMIC DATA ECONOMIC GROWTH EMPIRICAL EVIDENCE ENVIRONMENTAL HEALTH EXCHANGE RATE EXTERNALITIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH CENTRES HEALTH DELIVERY HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH SURVEYS HEALTH SYSTEM HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD CHARACTERISTICS HOUSEHOLD HEAD HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS HOUSEHOLDS IMPROVED ACCESS INCOME DISTRIBUTION INDIVIDUAL LEVEL INFANT MORTALITY INPATIENT CARE INTERVENTION IRON MALARIA MEASLES MEDICAL EQUIPMENT MEDICATION MEDICINES MORBIDITY MORTALITY NURSING NUTRITION NUTRITION PROGRAMS OPERATING COSTS OUTCOME VARIABLES OVERALL COSTS PALLIATIVE CARE PARENTS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLIO POOR GAIN PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICE PROVISION PUBLIC SERVICES QUALITY OF HEALTH CARE REPRESENTATIVE SURVEY RURAL AREAS SANITARY CONDITIONS SERVICE DELIVERY SERVICE QUALITY SOCIAL SERVICES SOCIO-ECONOMIC INDICATORS STIS SURGERY TRADITIONAL HEALTH CARE URBAN AREAS USER FEES WATER SUPPLY WORKERS
spellingShingle	ECONOMICS OF HEALTH HEALTH BEHAVIOR WELFARE PUBLIC HEALTH SERVICES USER FEES HEALTH ASPECTS OF POVERTY ACCOUNTABILITY AGED AGGREGATE SPENDING ALLOCATIVE EFFICIENCY ANTENATAL CARE ANTIBIOTICS BENEFIT ANALYSIS BRIBERY CAPACITY BUILDING CASE STUDIES CASE STUDY CLINICS COMMUNITY INFORMATION COMMUNITY SURVEY CONCEPTUAL FRAMEWORK CONSULTATION FEES COST RECOVERY COST SHARING CREDIT CONSTRAINTS DATA AVAILABILITY DATA SOURCES DEATHS DECENTRALIZATION DELIVERY SYSTEMS DEVELOPING COUNTRIES DEVELOPING COUNTRY DISEASE CONTROL DISPENSARIES DISTRICTS DRUGS DWELLING ECONOMIC ACTIVITY ECONOMIC CHARACTERISTICS ECONOMIC DATA ECONOMIC GROWTH EMPIRICAL EVIDENCE ENVIRONMENTAL HEALTH EXCHANGE RATE EXTERNALITIES FAMILY PLANNING HEALTH CARE HEALTH CENTERS HEALTH CENTRES HEALTH DELIVERY HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH ISSUES HEALTH OUTCOMES HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SURVEY HEALTH SURVEYS HEALTH SYSTEM HOSPITALS HOUSEHOLD ASSETS HOUSEHOLD CHARACTERISTICS HOUSEHOLD HEAD HOUSEHOLD LEVEL HOUSEHOLD SURVEY HOUSEHOLD SURVEYS HOUSEHOLDS IMPROVED ACCESS INCOME DISTRIBUTION INDIVIDUAL LEVEL INFANT MORTALITY INPATIENT CARE INTERVENTION IRON MALARIA MEASLES MEDICAL EQUIPMENT MEDICATION MEDICINES MORBIDITY MORTALITY NURSING NUTRITION NUTRITION PROGRAMS OPERATING COSTS OUTCOME VARIABLES OVERALL COSTS PALLIATIVE CARE PARENTS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLIO POOR GAIN PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROBABILITY PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HOSPITALS PUBLIC RESOURCES PUBLIC SECTOR PUBLIC SERVICE PROVISION PUBLIC SERVICES QUALITY OF HEALTH CARE REPRESENTATIVE SURVEY RURAL AREAS SANITARY CONDITIONS SERVICE DELIVERY SERVICE QUALITY SOCIAL SERVICES SOCIO-ECONOMIC INDICATORS STIS SURGERY TRADITIONAL HEALTH CARE URBAN AREAS USER FEES WATER SUPPLY WORKERS Deininger, Klaus Mpuga, Paul Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda
geographic_facet	Africa Uganda
relation	Policy Research Working Paper;No.3276
description	The authors use household level data for Uganda for 1999-2000 and 2002-03, before and after the abolition of user fees for public health services, to explore the effect of this policy on different groups' ability to access health services and morbidity outcomes. They find that the policy change improved access and reduced the probability of sickness in a way that was particularly beneficial to the poor. Although the challenge of maintaining service quality remains, aggregate benefits are estimated to be significantly larger than the estimated shortfalls from the abolition of user fees.
format	Publications & Research :: Policy Research Working Paper
author	Deininger, Klaus Mpuga, Paul
author_facet	Deininger, Klaus Mpuga, Paul
author_sort	Deininger, Klaus
title	Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda
title_short	Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda
title_full	Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda
title_fullStr	Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda
title_full_unstemmed	Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda
title_sort	economic and welfare effects of the abolition of health user fees: evidence from uganda
publisher	World Bank, Washington, D.C.
publishDate	2013
url	http://documents.worldbank.org/curated/en/2004/04/3578285/economic-welfare-effects-abolition-health-user-fees-evidence-uganda http://hdl.handle.net/10986/14303
_version_	1764430257878728704

Economic and Welfare Effects of the Abolition of Health User Fees: Evidence from Uganda

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