This briefing paper is looking on what is new is that a few African countries (Uganda, Malawi, Madagascar,Kenya, South Africa, Zimbabwe) around the abolishing of user fees for Primary Health Care (PHC) in there respective countries; While some appear to have succeeded (Uganda in particular) some others haven’t had the same accomplishment (Malawi, Madagascar or even Kenya). Other countries have been implementing mechanisms to avoid the negative effects user fees may have. All these experiences fuel the debate about maintaining or removing user fees. This briefing paper was produced for SDC with the support of the Swiss Tropical Institute (STI)

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