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The impact of fee removal on utilization levels is mostly not sustained or supported by all the evidence.
Literature on the impact of fee removal policies on service utilization and out-of-pocket expenditures is growing [ 35- 39].
There is an acknowledged gap in the literature on the impact of fee exemption policies on health staff, and, conversely, the implications of staffing for fee exemption.
In Zambia, fee removal was not specifically targeted at Maternal and Newborn Child Health (MNCH) services and there is conflicting evidence of the impact of fee removal on utilization.
CChe provided input in the original design of the overall study assessing the impact of fee removal in Zambia, participated in the data collection, and helped with the write up of the study.
In our case-study countries, there have been laudable attempts to plan for the impact of fee removal or reduction, and sometimes concomitant supportive change, even if not specifically responding to the needs of financing-policy change.
Similar(51)
The impact of fees means you should go for a fees-free deal if you are remortgaging for less than £100,000.
Might this increased generosity counteract some of the negative impact of fees?
So when stock returns are lower, the proportionate impact of fees is greater.
There is nothing to lose from even more disclosure on the impact of fees and charges on investors.
This makes a comparison of participation growth in these two countries less informative, and less likely to yield robust conclusions about the impact of fees.
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