Health financing for universal coverage

Building on the user-fee experience: the African case

Discussion paper, Number 3/2003

World Health Organization

Publication details

Number of pages: 26
Publication date: 2003
Languages: English
WHO reference number: EIP/FER/DP.03.3



This paper reviews the implementation and impact of user fee in Africa in order to inform policy about what works, with respect to utilisation, and why, in terms of institutional requirements. The paper goes beyond the discussion in current literature on one issue or the other by bringing together the extremes - in debate and evidence - and outlines the conditions for next steps in countries that are now considering combining financial contributions with some form of protection and risk pooling though community insurance.