equity implications of health sector user fees in tanzania

More documents

Recommendations

Info

Newbrander, W. & S. Sacca. 1996. Cost Sharing and Access to Health Care for the Poor: Equity Experiences in Tanzania. Boston: Management Sciences for Health. Newbrander, W., Collins, D. And L. Gilson. 2001. Ensuring equal access to health services. User fee systems and the poor. Boston: Management Sciences for Health. Newbrander, W., Collins, D. and L. Gilson. 2001. User Fees for Health Services. Guidelines for Protecting the Poor. Boston: Management Sciences for Health. Nyonator F. and Kutzin J. 1999. ‘Health for Some? The effects of user fees in the Volta Region of Ghana.’ In: Health Policy and Planning 14(4):329-341. Planning and Privatisation (The President’s Office) and Ministry of Finance. 2001. Guidelines for the Preparation of Medium Term Plan and Budget Framework for 2002/2003-2004/2005. Platteau, J.P. 2002. Rushing to Help the Poor Through Participation May Be Self-Defeating. Centre for Research on the Economics of Development (CRED), Belgium. Price, N. 2002. Service sustainability strategies in sexual and reproductive health programming. User fees. London: DFID. PRSP Review Tanzania. 2003. Summary of a PRSP Presentation, Tanzania. Repoa, ESRF. 2001. Pro-Poor Expenditure Tracking. Dar es Salaam, Tanzania. Repoa. 2003. Policy and Service Satisfaction Survey. Dar es Salaam, Tanzania. RESULTS. Not dated. User fees on primary health and education. Ridde, V. 2003. ‘Fees-for-service, cost recovery, and equity in a district of Burkina Faso operating the Bamako Initiative.’ In: Bulletin of the World Health Organisation 81(7):532-538. Rob Yates, Health Adviser, Uganda. 2004. Should African Governments Scrap User Fees For Health Services? Rob Yates. Ministry of Health, Uganda. 2004. The Ugandan Health SWAp: Improving efficiency and equity. Washington DC, Power Point Presentation 30 March 2004 (including Notes to Accompany The Ugandan Health SWAP Graphs). Roberts, J. 2002. Public Expenditure and Health Sector Development Outcomes. Dar es Salaam, Tanzania. Rowson, M. 2004. Strengthening the health claims of the poor. Promoting social inclusion, redistribution and ‘joint ventures‘ in the health sector. Draft. Rowson, M. 2004. Strengthening the health claims of the poor. Promoting social inclusion, redistribution and ‘joint ventures‘ in the health sector. Draft. Russell, S. 1996. ‘Ability to pay for health care: concepts and evidence. In: Health Policy and Planning 11:219-37. Rwechungura, D.A. 2003. Understanding the Impact of User Fees on gender in Tanzania. Unpublished MPH (Health Economics) Thesis, University of Cape Town, RSA. Sauerborn, R., Adams, A. and M. Hien. 1996. ;Household Strategies to Cope with The Economic Costs of Illness’. In: Social Science and Medicine 43 (3):291-301. Save the Children Fund. 2003. A policy Priority or Poor Peoples’ Health: A policy priority, What About Reality? Equity Implications of Health Sector User Fees in Tanzania 46
Schwerzel, P. 2001. Evaluation Report of PHC and HIV/AIDS programme in Marsabit Diocese (including cost assessment) and Strategic Planning Report PHC programme, Kenya. Schwerzel, P. 2001. Evaluation Report of Social Programmes in Ngong Diocese (including cost assessment), Kenya. Schwerzel, P. 2003. Progress Review Report Dadim Pastoralist PHC programme (including cost assessment), Ethiopia. Schwerzel, P. 2004. Equity implications of health sector user fees in Tanzania. Inception Report. 20 March 2004. Schwerzel, P. and Koot. J., 2003, Cordaid, Sector Plan Tanzania Health Sector: Proposal for PSO, Tanzania. Semboja, J. and O. Therkildsen. 1995. Service Provision under Stress in East Africa. The State, NGOs & People’s Organisations in Kenya, Tanzania & Uganda. Centre for Development Research, Copenhagen. Sen, A. and J. Dreze. 1999. Poverty and Famines, Hunger and Public Action. Oxford University Press, Oxford. Shwekerala, B.L. 2003. Hospital Care Financing in Tanzania: Costing Outputs of Level II Hospital at Kagera Regional Hospital, Tanzania. Master Thesis of International Health, University of Kopenhagen. Singh, A. 2003. Reviewing the Impact of User Fee: The African Experience. Department of Health Financing and Stewardship, WHO/EPI. Standing, H. 2002. Towards equitable financing strategies for reproductive health. Institute for Development Studies, Sussex. Swaan de, A. 1994. Social Policy beyond Borders. The social question in transnational perspective. Amsterdam University Press, Amsterdam. SWAp Mandate, Basel, Swiss Center for International Health , Swiss Tropical Institute Swiss Agency for Development and Cooperation. 2004. Briefing Note, Joint Health Sector Review, Development Partner Group (DPG) Meeting: Critical Issues for the DPG, Tanzania, 7th April 2004. Swiss Agency for Development Cooperation. 2003. Views of the Poor. Dar es Salaam, Tanzania. Tanzania Gender Networking Project. 2000. Comments from the Tanzania Gender Networking Project Regarding the IMF and World Bank endorsement of the Government of Tanzania’s ‘Poverty Reduction Strategy Paper’. Tanzania German Programme to Support Health (TGPSH) and GTZ. 2003. Papers on (1) Support to CHF Implementation in Tanga Region and (2) Introduction of CHFs in Tanga Region. Tanzania Participatory Poverty Assessment. 2003. Vulnerability and resilience to poverty in Tanzania, Dar es Salaam. Tanzania Social and Economic Trust (TASOET), together with Debt and Development Coalition Ireland and Oxfam Ireland. Terme, R. A. 2002. The Elimination of the Enrollment Fee for Primary Education in Tanzania, a case study on the Political Economy of Pro-Poor Policies, joint donor staff training activity. Dar es Salaam, Tanzania. http://www.worldbank.org/wbi/attackingpoverty/activities/apcourse3_desc.html UNDP. 2003. Human development Report 2003. Millennium development Goals: A compact among nations to end human poverty. Oxford University press, New York. Equity Implications of Health Sector User Fees in Tanzania 47
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 and 54: LIST OF CONSULTED DOCUMENTS 50 Year
Page 55 and 56: Gilson, L. 1997. ‘The Lessons of
Page 57: Ministry of Health. 2003. Assessmen
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
show all

equity implications of health sector user fees in tanzania

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?