caa a22 4500 397519893 CHVBK 20180308164629.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/heapol/10.3.223 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.3.223 The impact of alternative cost recovery schemes on access and equity in Niger [Elektronische Daten] [FRANCOIS DIOP, ABDO YAZBECK, RICARDO BITRAN] The authors examine accessibility and the sustainability of quality health care in a rural setting under two alternative cost recovery methods, a fee-for-service method and a type of social financing (risk-sharing) strategy based on an annual tax + fee-for-service. Both methods were accompanied by similar interventions aimed at improving the quality of primary health services. Based on pilot tests of cost recovery in the non-hospital sector in Niger, the article presents results from baseline and final survey data, as well as from facility utilization, cost, and revenue data collected in two test districts and a control district. Cost recovery accompanied by quality improvements increases equity and access to health care and the type of cost recovery method used can make a difference. In Niger, higher access for women, children, and the poor resulted from the tax + fee method, than from the pure fee-for-service method. Moreover, revenue generation per capita under the tax + fee method was two times higher than under the fee-for-service method, suggesting that the prospects of sustainability were better under the social financing strategy. However, sustainability under cost recovery and improved quality depends as much on policy measures aimed at cost containment, particularly for drugs, as on specific cost recovery methods. © 1995 Oxford University Press Overview nationallicence DIOP FRANCOIS aut YAZBECK ABDO aut BITRAN RICARDO aut Health Policy and Planning Oxford University Press 10/3(1995-09), 223-240 0268-1080 10:3<223 1995 10 heapol https://doi.org/10.1093/heapol/10.3.223 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.3.223 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- DIOP FRANCOIS aut NATIONALLICENCE 700 1- YAZBECK ABDO aut NATIONALLICENCE 700 1- BITRAN RICARDO aut NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/3(1995-09), 223-240 0268-1080 10:3<223 1995 10 heapol Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford