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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
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
Journal of Public Health Policy, Volume 33, No. 4, Year 2012
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Description
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 (P0.001). The utilization gap across socio-economic quintiles, however, remained unchanged. The amount received for all services associated with births decreased by 67 per cent (P0.001), but women continued to pay on average 1423 CFA (\[euro]1655 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. © 2012 Macmillan Publishers Ltd.
Authors & Co-Authors
De Allegri, Manuela
Germany, Heidelberg
Universität Heidelberg
Ridde, Valéry
Canada, Montreal
Centre Hospitalier de L'universite de Montreal
Louis, Valérie R.
Germany, Heidelberg
Universität Heidelberg
Sarker, Malabika
Germany, Heidelberg
Universität Heidelberg
Bangladesh, Health
Brac School of Public
Tiendrebéogo, Justin
Burkina Faso, Nouna
Centre de Recherche en Sante de Nouna
Ye´, Maurice
Burkina Faso, Nouna
Centre de Recherche en Sante de Nouna
Müller, Olaf
Germany, Heidelberg
Universität Heidelberg
Jahn, Albrecht
Germany, Heidelberg
Universität Heidelberg
Statistics
Citations: 8
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1057/jphp.2012.27
ISSN:
01975897
e-ISSN:
1745655X
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Burkina Faso
Participants Gender
Female