In 2000 the US Congress passed a law requiring the government to oppose loans that includes user fees for basic health or education services. However, a study by the US Centre for Economic and Policy Research finds that the Treasury has failed to oppose the PRSP for Tanzania that contained user fees for health. A 1998 report from the World Bank’s Operations Evaluation Department (OED) reported that about 40 per cent of World Bank health, nutrition and population projects included user fees.
Center for Economic and Policy Research
For a user-fee briefing note email carter@action.org
