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A price to pay: The impact of user charges in ashanti‐akim district, Ghana
Abstract
In present constrained economic circumstances, many governments have introduced or increased user charges for health services. This has been advocated by the World Bank, justified by reference to the raising of revenue, efficiency and, controversially, even the promotion of equity. This paper examines the impact of user charges on utilisation in the Ashanti‐Akim district of Ghana since the introduction of charges in 1985. In many ways, user charges have been a success: in recovering fees and maintaining urban utilisation. However some advantages have not materialised because the health infrastructure has not changed adequately. More importantly, equity and affordability have been problematical. For some of the population, services are no longer affordable.
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Research works printed but not linked: 6
- Akin J. S., 1977, Financing health services in developing countries: an agenda for reform
- Corbett J. E. M.(1988).Economic vulnerability to sickness. Sussex University: Unpublished paper presented to Workshop on Vulnerability and Coping Institute of Development Studies.
- Enyimayew K. A.(1988).Financing Drug Supplies of District Health Services in Ghana: the Ashanti‐Akim Experience. Harare Zimbabwe: WHO Workshop on Financing Drug Supplies.
- Janovsky K., 1988, Strengthening District Health Systems based on Primary Health Care: Report to the Division of Strengthening Health Services
- Vogel R. J., 1987, Cost Recovery in the Health Care Sector: Selected Country Studies in West Africa
- World Bank, 1988, World Development Report 1988, 10.1596/0-1952-0650-9 · DOI
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Metadata
- Authors
- Waddington, C. J., & Enyimayew, K. A.
- Venue
- The International Journal of Health Planning and Management
- Publisher
- Wiley
- Published
- 1989-01
- Volume
- 4
- Issue
- 1
- Pages
- 17-47
- ISSN
- 0749-6753 (ISSN-L)
- 1099-1751
- OpenAlex
- W2010394307
- Cited by
- 239
- References
- 0
- FWCI
- 12.48
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: A price to pay: The impact of user charges in ashanti‐akim district, Ghana. https://app.cochat.ai/papers/10.1002/hpm.4740040104
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- Waddington, C. J., & Enyimayew, K. A. (1989). A price to pay: The impact of user charges in ashanti‐akim district, Ghana. The International Journal of Health Planning and Management. https://doi.org/10.1002/hpm.4740040104
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