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Table 4 Summary of the actors' perceptions of the impacts of fees abolition

From: A process evaluation of user fees abolition for pregnant women and children under five years in two districts in Niger (West Africa)

 

Women

Health workers

Members of management committees

Positive impacts

Promotes medical evacuation

Reduced costs of treatment

Increased number of visits

Earlier visits

Promotes medical evacuation

Emergence of new drugs

Helpful arrival of NGO interns

Brings comfort to the target populations

Negative impacts

Abolition does not eliminate all costs

Multiple-dose medications require repeat visits to the CSI

Health workers' sometimes scornful attitude, assuming that women are pretending to be ill to obtain drugs

Patients in the target groups becoming more demanding

Nurses monopolizing the management of inputs

Management committees pushed aside