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Other studies under fee exemptions policies have had similar findings [24, 40].
Among the problems with the current system are the anomalies that exist for fee exemptions.
But studies elsewhere showed that out of pocket (OOP) payments still exist in the midst of fee exemptions.
However, studies in Africa and Asia have shown that OOP payments still persisted in the midst of fee exemptions policies, especially for skilled attendance at childbirth [11, 20 25].
The same thing happened in the case of fee exemptions.
How and why did maternal fee exemptions remain on the agenda?
The decree ratifying user fee exemptions for children under five was issued in April 2006.
Additionally, the web-based search engine Google Scholar was used to obtain published literature related to maternal fee exemptions.
In 2004, Kenya adopted a reduced and uniform user fee policy providing fee exemptions to many groups.
If fee exemptions are to be effective in improving health, these quality issues have to be addressed.
In 2004 Kenya introduced a reduced and uniform user fee policy providing fee exemptions to many groups.
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