equity implications of health sector user fees in tanzania

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Danida. 2003. Some thoughts on Resource Allocation to councils for Health, a commentary on ‘developing a system of inter-governmental grants in Tanzania’. Dar es Salaam, Tanzania. Deininger, K. and P. Mpuga. 2003. Has Abolition of Health User Fees improved the Welfare of Vulnerable Groups? Evidence from Uganda. World Bank, Washington. Deininger, K. and P. Mpuga. 2004. Economic and welfare impact of the abolition of health user fees: Evidence from Uganda. The World Bank, Washington D.C. and Johannes Kepler University, Linz- Austria & Makerere University, Kampala-Uganda. Deininger, K. and P. Mpuga. 2004. Economic Welfare Impact of the Abolition of Health User Fees: Evidence from Uganda. World Bank, Washington. Dercon, S. and H. Soenen. 1999. De Armoede Impact van Micro-interventies: Kostenverdeling in Basis gezondheidszorg in Dodoma, Tanzania. Studie in het kader van Beleidsvoorbereidend Onderzoek. Katholieke Universiteit Leuven. Dercon, S. and I. Frederickx. 2000. Assessment of the Impact of Interventions and Poverty: Principles and a Case Study of a Primary Health Care Intervention in Tanzania. Policy Research Project funded by VLIR and DGIS. Dercon, S. and K. van den Broek. Poverty and Economic Reform in Africa: Concepts, Experiences and a Case-Study of Kagera, Tanzania. Centrum for Economische Studies, Katholieke Universiteit Leuven. Devarajan, S. and R. Reinikka. 2002. Making Services Work for Poor People. The World Bank Group. DFID. Not dated. A DFID Line: User Fees and Health Insurance. Early Draft for Discussion. DFID. Not dated. User Fees and Risk Pooling: Towards a DFID Line to Take. Discussion Paper. Dodd, R. and E. Hinshelwood. World Health Organisation. 2002. Poverty Reduction Strategy Papers – their significance for health. Donor Group. 2003. Notes to accompany Graphs Showing the Impact of Abolishing User Fees in Uganda. Dusseljee, J.H.J. Memisa Medicus Mundi. 1992. Church-related health institutions and dependence on user charges. Eberwein, W.D. 2003. Making Services Work for Poor People: A Scholar’s Perspective. In preparation of the World Development Report 2003, Berlin. Economic Development Initiatives (EDI). 2003. Core Welfare Indicators Questionnaire for CWIQ Survey, Tanzania. Economic Development Initiatives (EDI). 2004. CWIQ Survey Kagera Region. Draft Report, Tanzania. Evans, T., Whitehead, M., Diderickson, F., Bhuiya, A. and M. Wirth. 2001. Challenging Inequities in Health, from Ethics to Action. Oxford University Press, Oxford. Ewald, J. e.o. 2004. A Matter of Choice? Cost Sharing in Health and Education from a Rights of the Child Perspective. Preliminary Observations and Conclusions. Paper presented at a Feedback workshop with National stakeholders, Tanzania Fredrerix, I. Health in Rural Tanzania. The Determinants of Health Status, Health Care Demand and Health Care Choice. Discussion Paper Series 98.03. Department Economie, Katholieke Universiteit, Leuven. Equity Implications of Health Sector User Fees in Tanzania 42
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Page 1 and 2:
C R Y S T A L EQUITY IMPLICATIONS O
Page 3 and 4: TABLE OF CONTENT ABBREVIATIONS ....
Page 5 and 6: ABBREVIATIONS AIDS Acquired Immune
Page 7 and 8: EXECUTIVE SUMMARY 1. Background Ear
Page 9 and 10: Tanzania has opted for a system of
Page 11 and 12: ACKNOWLEDGEMENT Many resource perso
Page 13 and 14: I INTRODUCTION 1.1 Background to th
Page 15 and 16: II LITERATURE REVIEW 2.1 Introducti
Page 17 and 18: have been highlighted in Technical
Page 19 and 20: met with donor support. After the a
Page 21 and 22: III POVERTY AND HEALTH IN TANZANIA
Page 23 and 24: diseases, (3) reducing malnutrition
Page 25 and 26: VI HEALTH SECTOR STRATEGIES TANZANI
Page 27 and 28: Pro-poor observations Tanzania has
Page 29 and 30: V COST SHARING STRATEGIES TANZANIA
Page 31 and 32: eported income proportion for the h
Page 33 and 34: VI IMPACT OF USER FEES IN TANZANIA
Page 35 and 36: An indication of actual charges and
Page 37 and 38: Table 6.3: Critical observations re
Page 39 and 40: All in all, there is limited eviden
Page 41 and 42: User fee policy Stakeholders mostly
Page 43 and 44: persons suggested to design a polic
Page 45 and 46: eneficiaries such as identity numbe
Page 47 and 48: VII CONCLUSIONS Poverty and health
Page 49 and 50: Importance of the public PHC facili
Page 51 and 52: � In the absence of effective per
Page 53: LIST OF CONSULTED DOCUMENTS 50 Year
Page 57 and 58: Ministry of Health. 2003. Assessmen
Page 59 and 60: Schwerzel, P. 2001. Evaluation Repo
Page 61 and 62: World Bank. 2000. Poverty Reduction
Page 63: TECHNICAL PAPER
Page 66 and 67: 2. Groups with most regressive outc
Page 68 and 69: Although the primary purpose is to
Page 70 and 71: Technical Paper 6
Page 72 and 73: Health Sector Reforms: Strategic Pl
Page 76 and 77: Elements of the Community Health Fu
Page 78 and 79: stems from the rapid increase in de
Page 82 and 83: Type of service Clarifications Refe
Page 84 and 85: Charges in the public and private h
Page 86 and 87: � Implementation of fees at the l
Page 88 and 89: - Enhance the accessibility of serv
Page 92 and 93: Critical factors that hamper access
Page 94 and 95: An exploratory study 11 in Kagera R
Page 96 and 97: Table TP 15 Views of 4 orphans towa
Page 98 and 99: this way the health centre prevents
Page 100 and 101: dispensaries. That is where most of
Page 103 and 104: ANNEX 1 TERMS OF REFERENCE Equity I
Page 105 and 106:
� Access to services for the poor
Page 107 and 108:
ANNEX 2 DATA MATRIX FOR CATEGORISAT
Page 109 and 110:
(These are the key questions in the
Page 111 and 112:
ANNEX 3 GUIDELINES FOR DATA COLLECT
Page 113 and 114:
� Can you mention negative experi
Page 115 and 116:
� Which groups are exempted from
Page 117 and 118:
ANNEX 4 TOOL FOR ANALYSIS OF POVERT
Page 119 and 120:
c.3 User fees 19. Does the strategy
Page 121 and 122:
ANNEX 5 TANZANIA COUNTRY PROFILE 1.
Page 123 and 124:
2. Tanzania Millennium Goals Countr
Page 125 and 126:
ANNEX 6 RESOURCE PERSONS Name of Re
Page 127 and 128:
ANNEX 7 ITINERARIES 1. Itinerary Pa
Page 129 and 130:
03-04-2004 � Continued desk study
Page 131:
ANNEX 8 MAP OF TANZANIA Equity Impl
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