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This article presents the results of a study that sought to see if poor populations could be informed of their entitled health services and if they were, if that would increase the delivery of heath services. Developing countries have a real problem with health care delivery even if the services are available. Inadequate service delivery often results from a lack of accountability by the health care workers and since the population generally doesn't know what they are entitled to, they rarely urge for service. The study found that informing the public did positively effect the delivery of health and social services and the authors conclude that patient education programs may improve the delivery of services elsewhere.

Context: Many countries have a shortage of kidneys available for transplantation. Paying people to donate kidneys is often proposed or justified as a way to benefit recipients by increasing the supply of organs and to benefit donors by improving their economic status. However, whether individuals who sell their kidneys actually benefit from the sale is controversial. Objective: To determine the economic and health effects of selling a kidney. Design, Setting, and Participants: Cross-sectional survey conducted in February 2001 among 305 individuals who had sold a kidney in Chennai, India, an average of 6 years before the survey. Main Outcome Measures: Reasons for selling kidney, amount received from sale, how money was spent, change in economic status, change in health status, advice for others contemplating selling a kidney. Results: Ninety-six percent of participants sold their kidneys to pay off debts. The average amount received was $1070. Most of the money received was spent on debts, food, and clothing. Average family income declined by one third after nephrectomy (P<.001), and the number of participants living below the poverty line increased. Three fourths of participants were still in debt at the time of the survey. About 86% of participants reported a deterioration in their health status after nephrectomy. Seventy-nine percent would not recommend that others sell a kidney. Conclusions: Among paid donors in India, selling a kidney does not lead to a long-term economic benefit and may be associated with a decline in health. Physicians and policy makers should reexamine the value of using financial incentives to increase the supply of organs for transplantation. [ABSTRACT FROM AUTHOR]