Title |
The impact of targeted subsidies for facility-based delivery on access to care and equity – Evidence from a population-based study in rural Burkina Faso
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Published in |
Journal of Public Health Policy, August 2012
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DOI | 10.1057/jphp.2012.27 |
Pubmed ID | |
Authors |
Manuela De Allegri, Valéry Ridde, Valérie R Louis, Malabika Sarker, Justin Tiendrebéogo, Maurice Yé, Olaf Müller, Albrecht Jahn |
Abstract |
We conducted the first population-based impact assessment of a financing policy introduced in Burkina Faso in 2007 on women's access to delivery services. The policy offers an 80 per cent subsidy for facility-based delivery. We collected information on delivery in five repeated cross-sectional surveys carried out from 2006 to 2010 on a representative sample of 1050 households in rural Nouna Health District. Over the 5 years, the proportion of facility-based deliveries increased from 49 to 84 per cent (P<0.001). The utilization gap across socio-economic quintiles, however, remained unchanged. The amount received for all services associated with births decreased by 67 per cent (P<0.001), but women continued to pay on average 1423 CFA (\[euro]1=655 CFA), about 500 CFA more than the set tariff of 900 CFA. Our findings indicate the operational effectiveness of the policy in increasing the use of facility-based delivery services for women. The potential to reduce maternal mortality substantially has not yet been assessed by health outcome measures of neonatal and maternal mortality. |
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United Kingdom | 1 | 25% |
Switzerland | 1 | 25% |
Senegal | 1 | 25% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
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Canada | 2 | 2% |
India | 1 | <1% |
United Kingdom | 1 | <1% |
Unknown | 105 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 27 | 25% |
Researcher | 14 | 13% |
Student > Ph. D. Student | 14 | 13% |
Other | 5 | 5% |
Student > Bachelor | 5 | 5% |
Other | 18 | 17% |
Unknown | 26 | 24% |
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Social Sciences | 21 | 19% |
Nursing and Health Professions | 14 | 13% |
Economics, Econometrics and Finance | 8 | 7% |
Business, Management and Accounting | 4 | 4% |
Other | 12 | 11% |
Unknown | 28 | 26% |