Abstract

We thank Rob Yates for his letter and agree that Malawi's consistent absence of user fees in public facilities will have probably facilitated access to care and financial protection, which might have benefited health outcomes. Indeed, a recent analysis by Manthalu and colleagues1 found positive effects of user fee removal on access to antenatal and delivery services in private facilities in Malawi. An analysis by Leone and colleagues2 also found a positive effect of user fee removal on institutional deliveries in Burkina Faso and Ghana.

Original language	en
Pages (from-to)	e446
Volume	4
Issue number	7
Publication status	Published - 2016