Discontinuation of cost sharing in Uganda", Bulletin of the World Health Organization, vol. Abolition of cost-sharing is pro-poor: evidence from Uganda" Health Policy and Planning, vol. User fees and managed revenues were determined at the local level, but often were in the range of US$0.25-0.45 per visit.b After the introduction of the user fees, outpatient attendance dropped by more than 20 per cent in some districts, while the opposite happened in some remote areas.