scholarly journals Low coverage but few inclusion errors in Burkina Faso: a community-based targeting approach to exempt the indigent from user fees

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Valéry Ridde ◽  
Slim Haddad ◽  
Béatrice Nikiema ◽  
Moctar Ouedraogo ◽  
Yamba Kafando ◽  
...  
2021 ◽  
pp. 1-12
Author(s):  
David Y Zombré ◽  
Manuela De Allegri ◽  
Valéry Ridde ◽  
Kate Zinszer

Abstract Objective: To examine the effect of an intervention combining user fees removal with community-based management of undernutrition on the nutrition status in children under 5 years of age in Burkina Faso. Design: The study was a non-equivalent control group post-test-only design based on household survey data collected 4 years after the intervention onset in the intervention and comparison districts. Additionally, we used propensity score weighting to achieve balance on covariates between the two districts, followed by logistic multilevel modelling. Setting: Two health districts in the Sahel region. Participants: Totally, 1116 children under 5 years of age residing in 41 intervention communities and 1305 from 51 control communities. Results: When comparing children living in the intervention district to children living in a non-intervention district, we determined no differences in terms of stunting (OR = 1·13; 95 % CI 0·83, 1·54) and wasting (OR = 1·21; 95 % CI 0·90, 1·64), nor in severely wasted (OR = 1·27; 95 % CI 0·79, 2·04) and severely stunted (OR = 0·99; 95 % CI 0·76, 1·26). However, we determined that 3 % of the variance of wasting (95 % CI 1·25, 10·42) and 9·4 % of the variance of stunting (95 % CI 6·45, 13·38) were due to systematic differences between communities of residence. The presence of the intervention in the communities explained 2 % of the community-level variance of stunting and 3 % of the community-level variance of wasting. Conclusions: With the scaling-up of the national free health policy in Africa, we stress the need for rigorous evaluations and the means to measure expected changes in order to better inform health interventions.


2009 ◽  
Vol 64 (01) ◽  
pp. 10-15 ◽  
Author(s):  
V Ridde ◽  
M Yaogo ◽  
Y Kafando ◽  
O Sanfo ◽  
N Coulibaly ◽  
...  

2013 ◽  
Vol 20 (1_suppl) ◽  
pp. 10-19 ◽  
Author(s):  
Valéry Ridde ◽  
Emmanuel Bonnet ◽  
Aude Nikiema ◽  
Kadidiatou Kadio

Over recent decades, Burkina Faso has improved the geographic accessibility of its health centres. However, patients are still required to pay point-of-service user fees, which excludes the most vulnerable from access to care. In 2010, 259 village committees in the Ouargaye district selected 2649 indigents to be exempted from user fees. The 26 health centre management committees that fund this exemption retained 1097 of those selected indigents. Spatial analysis showed that the management committees retained the indigents who were geographically closer to the health centres, in contrast to the selections of the village committees which were more diversified. Using village committees to select indigents would seem preferable to using management committees. It is not yet known whether the management committees’ selections were due to a desire to maximize the benefits of exemption by giving it to those most likely to use it, or to the fact that they did not personally know the indigents who were more geographically distant from them, or that some villages are not represented at the management committees.


Author(s):  
Dominique Ouédraogo ◽  
Salifou Ouédraogo‐Koné ◽  
Bernadette Yougbaré ◽  
Albert Soudré ◽  
Bienvenue Zoma‐Traoré ◽  
...  

Author(s):  
Chandrashekhar R. ◽  
Shashidhar S. Basagoudar ◽  
Shivappa Hatnoor ◽  
Rahul C. Kirte

Background: In December 2014, Ministry of Health and Family Welfare of India launched Mission Indradhanush with the aim to ensure that all children are fully vaccinated against seven vaccine-preventable diseases before they reach an age of two years.Methods: A cross sectional, community based study was conducted among parents attending Indradhanush Vaccination Centre (IVC) along with their partial and unimmunized children aged 0-23 months. Study was conducted during Mission Indradhanush (MI) 2nd Phase from November 2015 to January 2016. Data consisting of information regarding the various demographic variables, immunization history, and reasons for partial and unimmunization was collected by interviewing the parents through a pre-tested, structured questionnaire.Results: A total of 153 children were studied involving 63 session sites. 50 (32.7%) children were residing in low coverage areas, 4 (2.6%) children in villages with migratory population, 4(2.6%) children in areas with missed session and 87(56.9%) children residing in village with vacant sub centre. Common reasons for not vaccination were, child was sick on the day of vaccination (32%), child migrated to other place (27.5%), Fear of AEFI (11.8%), ignorance (11.1%). Only 92 (60.1%) children were having MCP card.Conclusions: The reasons for partial and un immunization  were mainly lack of awareness of parents, sickness of children, fear of AEFI and migration to other places which would be solved by taking all efforts to raise the awareness of community about  need  of immunization along with providing complete information about the immunization services being  provided to them.


2012 ◽  
Vol 91 (4) ◽  
pp. 277-282 ◽  
Author(s):  
Samia Laokri ◽  
Olivier Weil ◽  
K Maxime Drabo ◽  
S Mathurin Dembelé ◽  
Benoît Kafando ◽  
...  

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