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Available evidence creates a strong case for removal of user fees and provision of universal coverage for pregnant women, particularly for delivery care.
A recent modelling study reported that implementing a number of approaches to overcome commonly reported barriers to remaining in care such as removal of user fees and support with transport costs would be cost-effective [24].
Consequently, MoH encouraged District Health Offices (DHOs) to establish SLAs for the removal of user fees in CHAM.
Other measures might include the removal of user fees for TB diagnosis and transport subsidies.
However, establishing fair, effective and sustainable mechanisms for the removal of user fees presents important challenges.
Thanks for removal of user fees because not everyone could afford this".
They explain: "We considered the evidence on the removal of user fees to be at high risk of bias.
During the presidential campaigns in 2001, the President announced immediate removal of user fees for health care.
Other programmes included supply-side components that were not reviewed here, for example removal of user fees in Nepal.
Indeed, public health care utilisation increased particularly among the poor after the removal of user fees [ 9- 12].
The outcome of the study may then provide insights into policy actions to maintain quality of care following removal of user fees.
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