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Foreword -- Preface -- Introduction and overview -- 1. User fees: The goals of user fees -- Ability and willingness to pay -- The tradeoff between price and quality -- Exemption policies -- Administration and collection of fees -- Conclusions and recommendations -- 2. Self-financing health insurance: Risk sharing: how did it evolve? -- Insurance basics -- Formal health insurance in Africa -- Pre-payment plans for rural populations -- Evaluating the potential for formal risk sharing in Africa -- Potential for expanding coverage -- Conclusions and recommendations -- Appendix table -- Notes -- References -- Boxes.

Investments in health are a key ingredient in the formation of human capital and the sustainability of socioeconomic development. Yet expenditures on health in sub-Saharan Africa are often lamented as being inadequate, inefficient, inequitable, and unsustainable. The central problems facing governments and other stakeholders in health are how to mobilize more revenues for health, improve the efficiency of investments in better health, and correct persistent inequities created by current health financing systems. This volume is meant to open the way for a more informed discussion, offer new perspectives, and to challenge some widely held assumptions about cost recovery.