Published online by Cambridge University Press: 28 June 2012
This paper, produced by the Global Health Cluster, provides guidance to policy-makers and other health actors for the removal of user fees for the provision of primary healthcare (PHC) services during humanitarian crises. Reflecting international consensus, it provides guidance for humanitarian agencies for reducing the financial barriers to access to PHC services by removing user fees and the risks imposed by user fees, i.e., catastrophic health expenditures. It is based on the humanitarian principle of impartiality and on human rights, which state that humanitarian interventions should be provided “based on needs alone”, be accessible without discrimination, and be affordable for all. Therefore, humanitarian aid must not introduce or support a financing . mechanism for which sufficient evidence exists that indicates that it has negative effects on access to PHC for the most vulnerable and excluded groups.