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Table 5 Recommendations to better address gender issues related to user fees

From: User fee policies and women’s empowerment: a systematic scoping review

Main recommendations expressed in the included studies

• Adopt a multi-sectoral approach that goes beyond user fee policies [35, 36, 39]

• Increase collaboration between different departments (i.e., Health, Agriculture, Education, Economic Development, etc.) [37, 39]

• Address the structural determinants of gender inequalities in health [36, 39]

• Increase women’s access to monetary resources and education [36, 39]

• Adapt intervention to the social context and local conceptions of gender inequality [35,36,37,38]

• Use an intersectional lens when planning interventions due to the multidimensional nature of vulnerability and inequity [35, 36, 38, 39]

• Consider user fee abolition not only for reproductive health, but for women’s health in general [36, 39]

• Involve men in reproductive health planning and implementation [37]

• Increase health governance, transparency and accountability [35, 39]