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
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.