Opening the 'implementation black-box' of the user fee exemption policy for caesarean section in Benin: a realist evaluation Instituut voor Tropische Geneeskunde Vrije Universiteit Brussel
To improve access to maternal health services, Benin introduced in 2009 a user fee exemption policy for caesarean sections. Similar to other low- and middle-income countries, its implementation showed mixed results. Our study aimed at understanding why and in which circumstances the implementation of this policy in hospitals succeeded or failed. We adopted the realist evaluation approach and tested the initial programme theory through a ...