BMJ 2005;331 (1 October), doi:10.1136/bmj.331.7519.0-c
User fees should be dropped in sub-Saharan Africa
Removing user fees—charges for health care at the point of use—could save an estimated 233 000 lives a year in children aged under 5 in 20 African countries. This is an estimation of a modelling study by James and colleagues (p747), who argue that the abolition could be done at a relatively low cost while greatly improving people's access to health care.
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Credit: ANDREW AITCHISON
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On p 762, Gilson and McIntyre support the call for removal of user fees, but warn that the action—if approved—might backfire if not planned and managed with care.
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- Impact on child mortality of removing user fees: simulation model
- Chris James, Saul S Morris, Regina Keith, and Anna Taylor
BMJ 2005 331: 747-749.[Abstract] [Full Text] [PDF]
- Removing user fees for primary care in Africa: the need for careful action
- Lucy Gilson and Di McIntyre
BMJ 2005 331: 762-765.[Extract] [Full Text] [PDF]
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