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March 2009

Do user fees increase or decrease access to basic services?

Shanta Devarajan's picture

In a recent paper, Alaka Holla and Michael Kremer appear to resolve this controversial issue by surveying findings of a series of randomized evaluations. They conclude that user fees in health and education do reduce access. On page 33 of their 45-page paper, they mention that they have not looked at the impact of user fees on provider incentives. Yet this may be the crux of the debate. Everyone would be in favor of lowering or eliminating us

A fiscal stimulus for Africa?

Shanta Devarajan's picture

There is no question that the global financial and economic crisis is affecting Africa’s economic performance. The IMF’s World Economic Outlook forecasts a GDP growth rate for Africa of 3.5 percent, which is 1.6 percentage points lower than the previous forecast, and 1.9 percentage points below the 2008 growth rate. The growth forecast for primary commodity exporters is even lower; Angola, for instance, is