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Research on Poverty Alleviation (REPOA)

Financing public health care: Insurance, user fees, or taxes?
Welfare comparisons in Tanzania


Research Report 07.2

Deograsias P. Mushi

Research on Poverty Alleviation (REPOA)

2007

SARPN acknowledges REPOA as a source of this document: www.repoa.or.tz
[Download complete version - 561Kb ~ 3 min (41 pages)]     [ Share with a friend  ]

Introduction

For about two decades now, debates on the impacts of user fees on the public health sector have not clearly been conclusive. While Uganda, for example, recently decided to abandon these fees, Tanzania is looking to extend user fees to the sub-district primary health facilities. Welfare concerns feature as major controversial issues in community contributions towards the improvement of public health services; leading to the question: what is the best way to finance public health services?

This paper is part of those efforts seeking to carry out a comparative analysis of the community insurance scheme and user fees for public health care in Tanzania. The paper begins with a background that provides a summary of the controversies and achievements of user fees in poor countries, and Tanzania in particular, before outlining the problem context of this study, which was conducted during 2004. The rest of the paper is organised in three sections: Methodology of the Study, Results and Discussion, and Conclusion and Emerging Policy Issues.



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