Finding ways to deliver high-quality health care to low-income populations in developing countries is a critical policy challenge. Our initial ESRC-funded project found that reducing user fees (by providing primary health care for free) does substantially increase Malian households' use of this care.
Community management of handpumps has been the accepted mode of thinking for rural water supply over three decades in Africa. However, despite billions invested in rural handpumps one in three handpumps do not work in rural Africa. This represents a huge wasted investment and is associated with high but avoidable health, welfare and livelihood costs. Encouragingly, the risk of handpump breakdown bears all the hallmarks of an insurable risk.