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Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis
BackgroundEvidence on effectiveness of user fee exemption policies targeting maternal, newborn, and child health (MNCH) services is limited for...
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Stakeholder perceptions and experiences from the implementation of the Gratuité user fee exemption policy in Burkina Faso: a qualitative study
BackgroundIn 2016, the Gratuité policy was initiated by the Government of Burkina Faso to remove user fees for maternal, newborn, and child Health...
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User fee removal for the poor: a qualitative study to explore policies for social health assistance in Iran
IntroductionRemoval of user fee for vulnerable people reduces the financial barriers associated with healthcare payments, which, in turn, improves...
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User fee policies and women’s empowerment: a systematic sco** review
BackgroundOver the past decade, an increasing number of low- and middle-income countries have reduced or removed user fees for pregnant women and/or...
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Health services utilization and associated factors among fee waiver beneficiaries’ in Dessie city administration, Northeast Ethiopia: a cross-sectional study design
BackgroundThe fee waiver system is one of the components of the 2004 health care financing reform in Ethiopia. It is a system for granting access to...
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Performance-Based Financing, Basic Packages of Health Services and User-Fee Exemption Mechanisms: An Analysis of Health-Financing Policy Integration in Three Fragile and Conflict-Affected Settings
BackgroundAs performance-based financing (PBF) is increasingly implemented across sub-Saharan Africa, some authors have suggested that it could be a...
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Primary care services and emergency department visits in blended fee-for-service and blended capitation models: evidence from Ontario, Canada
IntroductionIt is well-known that the way physicians are remunerated can affect delivery of health care services to the population. Fee-for-service...
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Women’s decision-making power in a context of free reproductive healthcare and family planning in rural Burkina Faso
BackgroundIn 2016, the national user fee exemption policy for women and children under five was introduced in Burkina Faso. It covers most...
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Effects of the free healthcare policy on maternal and child health in Burkina Faso: a nationwide evaluation using interrupted time-series analysis
BackgroundBurkina Faso has recently instituted a free healthcare policy for women and children under five. This comprehensive study examined the...
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Examining user fee reductions in public primary healthcare facilities in Kenya, 1997–2012: effects on the use and content of antenatal care
BackgroundIn 2004, The Kenyan government removed user fees in public dispensaries and health centers and replaced them with registration charges of...
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Factors related to excessive out-of-pocket expenditures among the ultra-poor after discontinuity of PBF: a cross-sectional study in Burkina Faso
BackgroundMeasuring progress towards financial risk protection for the poorest is essential within the framework of Universal Health Coverage. The...
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Analysis on the equity differential on household healthcare financing in develo** countries: empirical evidence from Tanzania, East Africa
BackgroundAchieving equity in healthcare services has been a global priority. According to the literature, a slew of initiatives aimed at increasing...
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Analyzing the Financial Sustainability of User Fee Removal Policies: A Rapid First Assessment Methodology with a Practical Application for Burkina Faso
The purpose of this paper is to briefly present a methodological framework that does not require cumbersome investigations for a first assessment of...
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The role of consumer choice in out-of-pocket spending on health
BackgroundAnalyses of out-of-pocket healthcare spending often suffer from an inability to distinguish necessary from optional spending in the data...
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Economic consequences of caesarean section delivery: evidence from a household survey in Tanzania
BackgroundCaesarean section (C-section) delivery is an important indicator of access to life-saving essential obstetric care. Yet, there is limited...
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Knowledge of COVID-19 and the impact on indigents’ access to healthcare in Burkina Faso
BackgroundCOVID-19 constitutes a global health emergency of unprecedented proportions. Preventive measures, however, have run up against certain...
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Contributions and challenges of healthcare financing towards universal health coverage in Ethiopia: a narrative evidence synthesis
BackgroundHigh burden of healthcare expenditure precludes the poor from access to quality healthcare services. In Ethiopia, a significant proportion...
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Convergence in public health expenditure across the Sub-Saharan African countries: does club convergence matter?
BackgroundSub-Saharan African (SSA) countries that currently face enormous healthcare challenges have implemented national health policies focusing...
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Inequalities in reproductive health care use in five West-African countries: A decomposition analysis of the wealth-based gaps
BackgroundFamily planning and maternal care services have become increasingly available in West Africa but the level of non-use remains high. This...
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Using experience to create evidence: a mixed methods process evaluation of the new free family planning policy in Burkina Faso
BackgroundIn 2019, Burkina Faso was one of the first countries in Sub-Saharan Africa to introduce a free family planning (FP) policy. This process...
