Topical and Sectoral Studies

Contents (PDF/288KB)

Executive Summary (Japanese)

Abbreviations

1.Introduction

• 1-1 Background
• 1-2 Outline

2.User fees policies in low- and middle-income countries

• 2-1 Background to the introduction of user fees in developing countries
• 2-2 Theoretical basis to the introduction of user fees

3. Evidence from the experience

• 3-1 Impact
• 3-2 The factors that influence effectiveness of user fees policies

4. User fees and equity

• 4-1 The rationale for equity in user fees systems.
• 4-2 Protection measures for the poor
• 4-3 Experiences of implementing protection measures for the poor

5. User fees and health equity funds in Madagascar

• 5-1 User fees policies in Madagascar — Background
• 5-2 New user fees policy and protection measures for the poor — Financement pour l’Approvisionnement Non-stop en Médicaments (FANOME) and the Equity Fund.
• 5-3 The equity fund under FANOME

6. Current implementation status of FANOME and the Equity Fund — the case of Boeni Region, Mahajanga province

• 6-1 Performance outcomes
• 6-2 Some issues concerning the FANOME and Equity Fund implementation

7. Other related activities in Madagascar

• 7-1 Community-based insurance in CHD II Itaosy (in collaboration with WHO)
• 7-2 Willingness-to-Pay (WTP) study for community based health insurance
• 7-3 The Equity Fund at CHD II Marovoay (in collaboration with GTZ)

8. Issues concerning user fees policy and accompanying protection measures for the poor, and the contribution of international cooperation agencies.

• 8-1 Implications from examination of the experience to date
• 8-2 Potential areas for international cooperation and the role of Japan International Cooperation Agency (JICA)

Annex 1 Review of selected literature on user fees and other health financing schemes

Annex 2 Experience of a health equity fund in Cambodia

References

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