11. Incomplete adherence to user fee policy Health worker reports of fees charged for specific cases (n=30) Case Adherent (exc. lab costs) Child with malaria 22 Adult with malaria 5 Child with pneumonia 20 Adult with pneumonia 23 Adult with TB 22 Adult with gonorrhoea 3 Woman at first ANC visit 28 Mother requiring delivery 30 All above cases 0
12.
Editor's Notes
Prior to DFF, the only cash available for facilities from user fees and from IGA,
First result is that DFF mechanisms working well Through:
Less than 50% of clients at facilities had even heard of HFCs in their area
Even based on facilities’ own self-reports many were not adhering to 10/20 Backed up by exit interview data where found e.g. payment U5s 0-45 KSH, median of 5 Many facilities clearly not adhering to the 10/20 policy As no baseline data, not possible to say whether DFF has had an impact on adherence to user fee policy
Last bullet The evidence suggests…..., however to get full equity benefits from user fee removal, DFF must be …
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