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Coping with cost recovery: a study of the social impact of and responses to cost recovery in basic services (health and education) in poor communities in Zambia

Authors: 
Booth, D. et al
1995

Abstract

The report deals with the social implications of the cost-recovery measures adopted in the Zambian health and education sectors since 1989. The focus of the study is on the impact of the charges on access to basic health care and primary education among the poorest sections of the urban and rural population. The report is also concerned with the way poor communities, and the most vulnerable households within them, cope with demands to contribute more. It concludes by reviewing alternative ways of ensuring that the poorest are able to maintain access to basic services. A mix of approaches were used, including a range of standard RRA methods, focus-group work and anthropological insights from more traditional sources. The study also drew on a baseline survey and intensive household studies which had been carried out over several years.

Publisher

Kenya Poverty Assessment

Authors: 
World Bank
1995

Abstract

This report provides an assessment of the extent of and changes in poverty in Kenya during the '80s and early '90s. It uses data from different sources and of different kinds, including was a Participatory Poverty Assessment (PPA) and a Welfare Monitoring Survey (WMS). Interestingly, in three out of five districts the results yielded by the two approaches were almost identical. The PPA provided critical insights on a number of issues - people's perceptions of the extent and causes of poverty, the status of women, the extent of and reasons for low school enrolment, the reasons for not using public health facilities and the ways in which poor people cope with food insecurity and drought. Methods used included social mapping and wealth ranking, interviews and focus groups discussions. The different chapters present the findings of the study, focusing on economic development and poverty; revitalising the rural economy; structural transformation in agriculture; social sector spending (education and health); food security and nutrition; and targeted programmes and institutional factors. A strategy of programmes and policies for poverty reduction is suggested.

Publisher