The evaluation of an experiment in healthcare user fees exemption for vulnerable groups in Burkina Faso

The evaluation of an experiment in healthcare user fees exemption for vulnerable groups in Burkina Faso

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Introduction: The African Union and United Nations agencies requested that children under five years and pregnant women be exempt from healthcare payment Microwave Glass Plate at the point of service.Indeed, this payment method is a financial barrier to healthcare access that the most vulnerable populations cannot overcome.Since Burkina Faso had not yet implemented such a policy, an experiment was undertaken starting in 2008 in two districts of the Sahel region in order to produce evidence.Methods: A research programme was organised in order to evaluate the effectiveness, equity, processes, costs and social effects of this experiment.Twelve studies were undertaken that used a concurrent mixed method design with data collected from individuals, households, health centres and villages.

Results: The experiment was integrated into the health system and was fully appreciated by all.The third-party payer system was effective.Pregnant women and children under the age of five years had faster and broader access to the health system.The poorest among them substantially benefited from the intervention.The quality of care was sustained and costs were controlled.

Conclusion: Since equity is a priority Sinus Mist for the government and its financial partners, the research results suggest that exemption should be extended to the national level and that measures should be organised to break down the geographic barrier.