Table 5. Main characteristics of studies on reducing user fees and its effects on health service utilization in low- and middle-income countries, according to literature review.
| Study | Study setting | Study design | Intervention | Quality assessment | Overall risk of bias |
|---|---|---|---|---|---|
| Ojeda et al. (1994)28 | Colombia – 4 groups of 3 clinics (1 control, and 3 interventions) | CBA | Decrease of charges for a contraceptive implant | Net prices may be misleading due to inflation; some minor differences between baseline and control groups; statistical significance computed by the reviewers | High |
| Abdu et al. (2004)31 | Sudan – 6 public health centres (2 × 3 interventions) and 2 control ones | CBA | Decrease of user fees in PHC facilities | Important differences between control site and treatment sites (catchment area size, rural/urban, outcome results); limited sample size for women at baseline; inappropriate statistical analysis (and no significance level computed) | High |
CBA, controlled “before and after”; PHC, primary health care.