Effects of User Fee Exemptions on the Provision and Use of Maternal Health Services: A Review of Literature

User fee removal has been put forward as an approach to increasing priority health service utilization, reducing impoverishment, and ultimately reducing maternal and neonatal mortality. However, user fees are a source of facility revenue in many low-income countries, often used for purchasing drugs and supplies and paying incentives to health workers. This paper reviews evidence on the effects of user fee exemptions on maternal health service utilization, service
provision, and outcomes, including both supply-side and demand-side effects.

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