caa a22 4500 397519974 CHVBK 20180308164630.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/heapol/10.3.241 doi (NATIONALLICENCE)oxford-10.1093/heapol/10.3.241 Protecting the poor under cost recovery: the role of means testing [Elektronische Daten] [CARLA Y WILLIS, CHARLOTTE LEIGHTON] In African health sectors, the importance of protecting the very poor has been underscored by increased reliance on user fees to help finance services. This paper presents a conceptual framework for understanding the role means testing can play in promoting equity under health care cost recovery. Means testing is placed in the broader context of targeting and contrasted with other mechanisms. Criteria for evaluating outcomes are established and used to analyze previous means testing experience in Africa. A survey of experience finds a general pattern of informal, low-accuracy, low-cost means testing in Africa. Detailed household data from a recent cost recovery experiment in Niger, West Africa, provides an unusual opportunity to observe outcomes of a characteristically informal means testing system. Findings from Niger suggest that achieving both the revenue raising and equity potential of cost recovery in sub-Saharan Africa will require finding ways to improve informal means testing processes. © 1995 Oxford University Press Overview nationallicence WILLIS CARLA Y. aut LEIGHTON CHARLOTTE aut Health Policy and Planning Oxford University Press 10/3(1995-09), 241-256 0268-1080 10:3<241 1995 10 heapol https://doi.org/10.1093/heapol/10.3.241 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/heapol/10.3.241 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- WILLIS CARLA Y. aut NATIONALLICENCE 700 1- LEIGHTON CHARLOTTE aut NATIONALLICENCE 773 0- Health Policy and Planning Oxford University Press 10/3(1995-09), 241-256 0268-1080 10:3<241 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