The impact of user fees on health service utilization in low- and middle-income countries: how strong is the evidence?
Mylene Lagarde, Natasha Palmer
Volume 86, Number 11, November 2008, 839-848
Table 5. Main characteristics of studies on reducing user fees and its effects on health service utilization in low- and middle-income countries, according to literature review
|Study||Study setting||Study design||Intervention||Quality assessment||Overall risk of bias|
|Ojeda et al. (1994)
||Colombia – 4 groups of 3 clinics (1 control, and 3 interventions)||CBA||Decrease of charges for a contraceptive implant||Net prices may be misleading due to inflation; some minor differences between baseline and control groups; statistical significance computed by the reviewers||High|
|Abdu et al. (2004)
||Sudan – 6 public health centres (2 × 3 interventions) and 2 control ones||CBA||Decrease of user fees in PHC facilities||Important differences between control site and treatment sites (catchment area size, rural/urban, outcome results); limited sample size for women at baseline; inappropriate statistical analysis (and no significance level computed)||High|
CBA, controlled “before and after”; PHC, primary health care.