Cost Sharing in the Social Sectors of Sub-Saharan Africa: Impact of the Poor, Parts 63-338World Bank Discussion Paper No. 338. Reviews the World Bank's recommendation that governments charge user fees for social services for the nonpoor and looks at the impact of these policies on the poor. The study inventories country experiences and Bank activities in cost sharing for education and health, reviews African experiences with its implementation, and assesses the lessons learned. The authors discuss the practical problems confronted in implementing cost sharing and protecting the poor and present a series of interrelated actions for achieving the goals of basic education and health for all. |
Common terms and phrases
access to basic adjustment lending Africa Region Bamako Initiative Bangladesh Bank-Supported Bank's basic education basic services basic social services Benin budget Burkina Faso Cameroon charge Community Participation contributions cost sharing cost sharing policies Developing Countries dialogue drugs education and health education projects Education Sector enrollment exemptions funds Ghana Govt Guinea health and education health centers Health in Africa health sector health services higher education households impact improve in-kind increase Kenya Khandker Lesotho loan scheme Malawi Mali Mauritania national system Nigeria Nolan and Turbat Options P.O. Box parents percent poor's access Pre-payment schemes primary education primary schools Programs protecting the poor Public Expenditure public spending Reform Review Rural School Construction secondary levels Sectors of Sub-Saharan Shahidur Social Sectors Strategy Structural Adjustment Sub-Saharan Africa Tanzania targeting Textbook Component Traditions of Cost tuition Uganda user fees Washington World Bank Zambia Zimbabwe