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USAID Maternal Health Technical Series: The Effects of Removing User Fees on Caesareans in Mali

first_img ShareEmailPrint To learn more, read: All are invited. More details and RSVP information are available here.Share this: Marianne El-Khoury, MPA, MA, Associate/Economist, USAID/Health Systems 20/20 ProjectLaurel Hatt, MPH, PhD, Senior Associate/Health Economist, USAID/Health Systems 20/20 Project Wednesday, April 27 201112:30-1:30 PMRonald Reagan Building R. 2.09 d/e Despite more than a decade of health sector reforms, Mali’s maternal mortality ratio remains high, with 464 maternal deaths per 100,000 live births. In an effort to increase access to skilled birth attendance and emergency obstetric care, the government of Mali in 2005 removed user fees for caesareans in all public sector facilities. This study examines the effects of the policy on access to caesareans, assesses equity of utilization of caesarean services across socioeconomic groups, and identifies important remaining access barriers.The authors find that while caesarean rates have increased since 2005, about 24% of women receiving caesareans belong to the poorest third of the population while as high as 49% belong to the wealthiest third, suggesting that barriers to access remain among the most economically disadvantaged population. Transportation barriers and drug costs are among the most significant remaining obstacles.The paper is available here. The effects of removing user fees on access to life-saving maternal health services: The case of caesareans in Mali Posted on April 18, 2011August 17, 2016Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to email this to a friend (Opens in new window)Click to print (Opens in new window)You are invited to the USAID Maternal Health Technical Series:last_img read more