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This study determines the effect of the policy to remove user fees on institutional delivery in a population-based sample of women from urban Kenya. Multivariate findings show that women were significantly more likely to deliver at a public facility as compared to a private facility after the policy. Among the poor, the results show that poor women were significantly more likely to deliver in a public facility compared to home or a private facility after policy change.
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References
Chuma, J., & Maina, T. (2013). Free maternal care and removal of user fees at primary-level facilities in Kenya: Monitoring the implementation and impact—baseline report. Washington, DC: Health Policy Project, Futures Group.
Collins, D., Quick, J. D., Musau, S. N., Kraushaar, D., & Hussein, I. M. (1996). The fall and rise of cost sharing in Kenya: The impact of phased implementation. Health Policy and Planning, 11(1), 52–62.
Dzakpasu, S., Powell-Jackson, T., & Campbell, O. (2014). Impact of user fees on maternal health service utilization and related health outcomes: A systematic review. Health Policy and Planning, 29(2), 137–150.