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Ridde V et al. – In the rural African context, villagers are capable of selecting those who should be exempted from user fees according to their own perspective. Health centres have a certain financial capacity to take care of indigents. In a community–based targeting approach using endogenous resources generated from BI profits, local perceptions of the health centres’ financial viability, coupled with the hierarchical social context, led to a very restrictive selection of candidates for exemption.

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