Assessing the community-level impact of a decade of user fee policy shifts on health facility deliveries in Kenya, 2003-2014.

ABSTRACT: BACKGROUND:The long-term impact of user fee removal policies on health service utilization in low- and middle-income countries may vary depending on the context in which they are implemented, including whether there are policy actions to support implementation. We examined the community-level impact of a decade of user fee policy shifts on health facility delivery among poorest and rural women and compared the changes with those among the richest and urban women in Kenya using data from three rounds of nationally representative surveys. METHODS:Data are from births occurring in the 5 years preceding the survey to women aged 15-49 years who were interviewed in the 2003, 2008-2009 and 2014 Kenya Demographic and Health Surveys. A total of 5949, 6079 and 20,964 births were reported in respecti

SUBMITTER: Obare F 

PROVIDER: S-EPMC5970478 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature