How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization

Using a nested multinomial logit model, this study investigates the demand “reduction” and “diversion” effects of user fees in rural areas of Ethiopia. The results reveal that an increase in user fees of public clinics, which are the most widely used alternative, can have a significant demand reduct...

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Autores principales: Asfaw, Abay, von Braun, Joachim
Formato: Journal Article
Lenguaje:Inglés
Publicado: 2004
Materias:
Acceso en línea:https://hdl.handle.net/10568/157723
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author Asfaw, Abay
von Braun, Joachim
author_browse Asfaw, Abay
von Braun, Joachim
author_facet Asfaw, Abay
von Braun, Joachim
author_sort Asfaw, Abay
collection Repository of Agricultural Research Outputs (CGSpace)
description Using a nested multinomial logit model, this study investigates the demand “reduction” and “diversion” effects of user fees in rural areas of Ethiopia. The results reveal that an increase in user fees of public clinics, which are the most widely used alternative, can have a significant demand reduction effect on the poorest of the poor. This implies that despite cost recovery has been advocated as an alternative means of health care financing in most of the developing world, increasing user fees may drive the poorest segment of the population out of the health care market unless some protective measures are taken. -- from Article
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spelling CGSpace1577232025-04-08T18:27:05Z How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization Asfaw, Abay von Braun, Joachim health services expenditure consumers public health rural areas Using a nested multinomial logit model, this study investigates the demand “reduction” and “diversion” effects of user fees in rural areas of Ethiopia. The results reveal that an increase in user fees of public clinics, which are the most widely used alternative, can have a significant demand reduction effect on the poorest of the poor. This implies that despite cost recovery has been advocated as an alternative means of health care financing in most of the developing world, increasing user fees may drive the poorest segment of the population out of the health care market unless some protective measures are taken. -- from Article 2004 2024-10-24T12:51:33Z 2024-10-24T12:51:33Z Journal Article https://hdl.handle.net/10568/157723 en Limited Access Asfaw, Abay; von Braun, Joachim. 2004. How big is the crowding-out effect of user fees in the rural areas of Ethiopia? implications for equity and resource mobilization. World Development 32(12): 2065-2081.
spellingShingle health services
expenditure
consumers
public health
rural areas
Asfaw, Abay
von Braun, Joachim
How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization
title How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization
title_full How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization
title_fullStr How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization
title_full_unstemmed How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization
title_short How big is the crowding-out effect of user fees in the rural areas of Ethiopia?: implications for equity and resource mobilization
title_sort how big is the crowding out effect of user fees in the rural areas of ethiopia implications for equity and resource mobilization
topic health services
expenditure
consumers
public health
rural areas
url https://hdl.handle.net/10568/157723
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AT vonbraunjoachim howbigisthecrowdingouteffectofuserfeesintheruralareasofethiopiaimplicationsforequityandresourcemobilization