• English
    • français
  • English 
    • English
    • français
  • Login
View Item 
  •   Repository Home
  • Research Papers (RP)
  • RP-School of Business
  • RP-Department of Business Administration
  • View Item
  •   Repository Home
  • Research Papers (RP)
  • RP-School of Business
  • RP-Department of Business Administration
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

User charges in government health facilities in Kenya: effect on attendance and revenue

Thumbnail
View/Open
Abstract (84.14Kb)
Date
1995
Author
Mwabu, G.
Mwanzia, J.
Liambila, W.
Metadata
Show full item record
Abstract
In this paper we study demand effects of user charges in a district health care system using cross-sectional data from household and facility surveys. The effects are examined in public as well as in private health facilities. We also look briefly at the impact of fees on revenue and service quality in government facilities. During the period of cost-sharing in public clinics, attendance dropped by about 50%. This drop prompted the government to suspend the fees for approximately 20 months. Over the 7 months after suspension of fees, attendance at government health centres increased by 41%. The suspension further caused a notable movement of patients from the private sector to government health facilities. The revenue generated by user fees covered 2.4% of the recurrent health budget. Some 40% of the facilities did not spend the fee revenue they collected, mainly due to cumbersome procedures of expenditure approvals. The paper concludes with lessons from Kenya's experience with user charges.
URI
http://ir-library.ku.ac.ke/handle/123456789/14190
Collections
  • RP-Department of Business Administration [513]

Designed by Library ICT Team copyright © 2017 
Contact Us | Send Feedback

 

 

Browse

All of RepositoryCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

My Account

LoginRegister

Designed by Library ICT Team copyright © 2017 
Contact Us | Send Feedback