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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