It shall therefore be a requirement for continuing the program, receiving medication and benefiting from the exemption from co-payment of care.
Tory sources said there would be exemptions for people coming out of care.
Some districts were compelled to stop the free evacuations, even though problems associated with medical evacuations are known to be a contributing factor in the lack of continuity of care for fee exemption beneficiaries.
Careful consideration should also be given to staff motivation and the role of different providers, as well as quality of care constraints, when designing the exemptions policy.
User fees in public lower level facilities were introduced alongside the CHF, along with a system of exemptions (free care for priority population groups (e.g., children under five, pregnant women) and waivers (free care to those who are unable to pay).
The evaluation included a number of components investigating quality of maternity care, all of which concluded that the exemption policy had not led to a deterioration, but that quality of care – before and after – was an area of concern (17).
The main activities of the NGO are the following: 1) subsidize health care for pregnant women 2) control the exemption system in the pilot districts 3) improve, monitor, and supervise quality of care to pregnant women.
Thus, the present study attempts to gather evidence on satisfaction with quality of care of skilled delivery for women who benefited from total fee exemption and those who did not (still paying 20% of fees).
Generally, costs of lower levels of care are lower than of higher levels, but health centres are an exemption.
Our conclusions also agree with those of a literature review on the weaknesses and malfunctions either produced or exacerbated by exemption polices [ 11], whose consequences included, in most cases, a decline in the quality of care.
