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Tytuł pozycji:

Do Targeted User Fee Exemptions Reach the Ultra-Poor and Increase their Healthcare Utilisation? A Panel Study from Burkina Faso.

Tytuł:
Do Targeted User Fee Exemptions Reach the Ultra-Poor and Increase their Healthcare Utilisation? A Panel Study from Burkina Faso.
Autorzy:
Beaugé Y; Heidelberg Institute for Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 365, 69120 Heidelberg, Germany.
De Allegri M; Heidelberg Institute for Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 365, 69120 Heidelberg, Germany.
Ouédraogo S; The Canadian Institutes of Health Research (CIHR), Ottawa, ON K1A 0W9, Canada.; National Public Health Institute of Quebec (INSPQ), Quebec City, QC G1V 5B3, Canada.; Department of Epidemiology, Biostatistics and Occupational Health (EBOH), Faculty of Medicine, McGill University, Montreal, QC H3A 1A2, Canada.
Bonnet E; French Institute for Research on Sustainable Development (IRD), Unité Mixte Internationale (UMI) Résiliences, 93143 Bondy, France.
Kuunibe N; Heidelberg Institute for Global Health, Medical Faculty and University Hospital, Heidelberg University, Im Neuenheimer Feld 365, 69120 Heidelberg, Germany.; Department of Economics and Entrepreneurship Development Studies, Faculty of Integrated Development Studies, University for Development Studies, P O Box 520, Wa, Upper West Region, Ghana.
Ridde V; French Institute for Research on Sustainable Development (IRD), Centre Population et Développement (CEPED), Universités de Paris, ERL INSERM SAGESUD, 75006 Paris,France.
Źródło:
International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Sep 08; Vol. 17 (18). Date of Electronic Publication: 2020 Sep 08.
Typ publikacji:
Journal Article; Research Support, Non-U.S. Gov't
Język:
English
Imprint Name(s):
Original Publication: Basel : MDPI, c2004-
MeSH Terms:
Fees and Charges*
Health Services Accessibility*
Health Smart Cards*
Patient Acceptance of Health Care*
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Burkina Faso ; Female ; Health Services ; Humans ; Male ; Middle Aged ; Young Adult
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Grant Information:
Canada CIHR
Contributed Indexing:
Keywords: Burkina Faso; health service utilisation; performance-based financing; targeting; user fee exemptions
Entry Date(s):
Date Created: 20200911 Date Completed: 20201215 Latest Revision: 20201215
Update Code:
20240105
PubMed Central ID:
PMC7559284
DOI:
10.3390/ijerph17186543
PMID:
32911868
Czasopismo naukowe
Background: A component of the performance-based financing intervention implemented in Burkina Faso was to provide free access to healthcare via the distribution of user fee exemption cards to previously identified ultra-poor. This study examines the factors that led to the receipt of user fee exemption cards, and the effect of card possession on the utilisation of healthcare services. Methods: A panel data set of 1652 randomly selected ultra-poor individuals was used. Logistic regression was applied on the end line data to identify factors associated with the receipt of user fee exemption cards. Random-effects modelling was applied to the panel data to determine the effect of the card possession on healthcare service utilisation among those who reported an illness six months before the surveys. Results: Out of the ultra-poor surveyed in 2017, 75.51% received exemption cards. Basic literacy ( p = 0 . 03), living within 5 km from a healthcare centre ( p = 0.02) and being resident in Diébougou or Gourcy ( p = 0.00) were positively associated with card possession. Card possession did not increase health service utilisation (β = -0.07; 95% CI = -0.45; 0.32; p = 0.73). Conclusion: A better intervention design and implementation is required. Complementing demand-side strategies could guide the ultra-poor in overcoming all barriers to healthcare access.
Competing Interests: The authors declare that they have no competing interests. Manuela De Allegri was the PI of Impact Evaluation of the of the Performance-Based Financing funded by the World Bank through the Health Results Innovation Trust Fund (HRITF). The Fund was administered by the Medical Faculty of the University of Heidelberg; hence M.D.A received no direct compensation from the World Bank.

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