Removal of user fees and system strengthening improves access to maternity care reducing neonatal mortality in a district hospital in Lesotho

摘要

Lesotho has one of the highest maternal mortality rates in the world. While at primary health care ( ) level maternity care is free, at hospital level co‐payments are required from patients. We describe service utilisation and delivery outcomes before and after removal of user fees and quality of delivery care, and associated costs, at St Joseph's Hospital ( ) in Roma, Lesotho.