title: User fee exemption policies in Mali: sustainability jeopardized by the malfunctioning of the health system.
abstract: In Mali, where rates of attendance at healthcare facilities remain far below what is needed, three user fee exemption policies were instituted to promote access to care. These related to HIV/AIDS treatment, as of 2004, caesarean sections, since 2005, and treatment of malaria in children under five and pregnant women, since 2007. Our qualitative study compared these three policies, looking at their implementation provisions, functioning and outcomes. In each healthcare facility, we analysed documentation and carried out three months of on-site observations. We also conducted a total of 254 formal and informal interviews with health personnel and patients.
authors.forename: Laurence
authors.initials: L
authors.lastname: Touré
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage / Q000191:economics*; D002585:Cesarean Section / Q000191:economics* / Q000706:statistics & numerical data; D005251:Fees, Medical / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D005260:Female; D006078:Government Programs; D015658:HIV Infections / Q000191:economics* / Q000453:epidemiology / Q000628:therapy; D006291:Health Policy; D006297:Health Services Accessibility / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008302:Mali / Q000453:epidemiology; D008483:Medical Assistance / Q000191:economics / Q000458:organization & administration*; D011247:Pregnancy; D036301:Qualitative Research; D012959:Socioeconomic Factors
chemical_list: D019380:Anti-HIV Agents