AfHEA 2011 a framework to study the process of removing user fee in LIC
1. The Policy Process of Removing user fees in health services in low-income countries: a framework for a multi country review How to remove user fees David Hercot, Bruno Meessen, Valery Ridde & Lucy Gilson
8. Five Elements of the Policy Process Unintendedpositiveimpact Intended impact Unintendednegativeimpact process context content actors
9. Good Practice Hypothesis a well-documented and assessed practice that provide evidence of success/impact and which are valuable for replication, scaling up and further study Methodology for the Review
10. Five Elements of the Policy Process Unintendedpositiveimpact Intended impact Unintendednegativeimpact process context content actors
15. 4. Use of International and National Scientific evidence 5. Considering different policy options 6. Thorough assessment of the option 7. Early identification of accompanying measures 8. Preferences of key stakeholders met Involve Stakeholders when designing Process: Option Appraisal
22. 13. Technical leadership 14. Coordination unit 15. Capacity building 16. Communication strategies 17. Actors abide by the new rules Process: Implementation
23. An existing task force took the responsibility to follow up implementation issues The coordination unit did not produce procedure manual nor policy paper in 6 months
24. 18. Monitoring and Evaluation Indicators: utilization rate, the disbursement rate, drugs stock out, Longer term evaluation patient satisfaction, financial protection, quality of care, Process:Monitoring and Evaluation
25. Five Elements of the Policy Process Unintendedpositiveimpact Intended impact Unintendednegativeimpact process context content actors