Consumer-led demand side financing in health and education and its relevance for low and middle income countries

The International Journal of Health Planning and Management
Tim Ensor

Abstract

There is increasing awareness that supply subsidies for health and education services often fail to benefit those that are most vulnerable in a community. This recognition has led to a growing interest in and experimentation with, consumer-led demand side financing systems (CL-DSF). These mechanisms place purchasing power in the hands of consumers to spend on specific services at accredited facilities. International evidence in education and health sectors suggest a limited success of CL-DSF in raising the consumption of key services amongst priority groups. There is also some evidence that vouchers can be used to improve targeting of vulnerable groups. There is very little positive evidence on the effect of CL-DSF on service quality as a consequence of greater competition. Location of services relative to population means that areas with more provider choice, particularly in the private sector, tend to be dominated by higher and middle-income households. Extending CL-DSF in low-income countries requires the development of capacity in administering these financing schemes and also accrediting providers. Schemes could focus primarily on fixed packages of key services aimed at easily identifiable groups. Piloting and robust evalu...Continue Reading

Citations

Nov 22, 2005·Health Policy·Tim Ensor, Jeptepkeny Ronoh
Jul 20, 2013·BMC Public Health·Rebecca NjukiBen Bellows
Mar 18, 2011·BMC International Health and Human Rights·Elizabeth Ekirapa-KirachoDavid H Peters
Dec 11, 2014·International Journal for Equity in Health·Mohammad HajizadehArijit Nandi
Feb 3, 2006·Tropical Medicine & International Health : TM & IH·Josephine BorghiSuresh Tiwari
Nov 4, 2010·Tropical Medicine & International Health : TM & IH·Nicole M BellowsCharlotte Warren
Jul 1, 2014·Cost Effectiveness and Resource Allocation : C/E·Chrispus MayoraSebastian Olikira Baine
Oct 13, 2009·The Cochrane Database of Systematic Reviews·Mylene LagardeNatasha Palmer
Nov 1, 2020·Health & Social Care in the Community·Valerie Lai-Hei FungEng-Kiong Yeoh
Sep 11, 2021·Archives of public health = Archives belges de santé publique·Ashish KcAvinash K Sunny

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