Charges for Merit Goods: Third World Family Planning

R. Kenneth Godwin

Journal of Public Policy, 1991, vol. 11, issue 4, 415-429

Abstract: This article examines the arguments for and against user fees, privatisation, and decentralisation of health care and family planning delivery systems and compares the effectiveness of fee-for-service delivery by decentralised systems with that of centralised systems with services provided free of charge. Developing countries have achieved remarkable reductions in fertility rates in the past 25 years, but continuing gains depend largely upon increasing the capacity of family planning and health care delivery systems in rural areas. National governments are unlikely to allocate additional funds to improve delivery systems to rural areas because of the greater political influence of urban areas and the declining health-care budgets of the central government. This situation has led many to propose alternative arrangements for health-care delivery in rural areas.

Date: 1991
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