ArticleBulletin of the World Health Organization2014
Estimation of maternal and child mortality one year after user-fee elimination: an impact evaluation and modelling study in Burkina Faso.
Article in Bulletin of the World Health Organization, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- From fees to free: impacts of user fee removal on child health outcomes - a systematic review.International journal for equity in health · 2025Pooled it
- Protocol for the process evaluation of interventions combining performance-based financing with health equity in Burkina Faso.Implementation science : IS · 2014Trial
- Impact of the free healthcare policies in Burkina Faso: underscoring important nuances.Health policy and planning · 2025Article
- Effects of the free healthcare policy on maternal and child health in Burkina Faso: a nationwide evaluation using interrupted time-series analysis.Health economics review · 2023Article
- Effect of cost-reduction interventions on facility-based deliveries in Burkina Faso: a controlled interrupted time-series study with multiple non-equivalent dependent variables.Journal of epidemiology and community health · 2023Article
- Article
- Universal health coverage and the poor: to what extent are health financing policies making a difference? Evidence from a benefit incidence analysis in Zambia.BMC public health · 2022Article
- Does the implementation of UHC reforms foster greater equality in health spending? Evidence from a benefit incidence analysis in Burkina Faso.BMJ global health · 2021Article
- Geographic barriers to achieving universal health coverage: evidence from rural Madagascar.Health policy and planning · 2021Article
- User fees removal and community-based management of undernutrition in Burkina Faso: what effects on children's nutritional status?Public health nutrition · 2021Article
- Effectiveness of peer-supervision on pediatric fever illness treatment among registered private drug sellers in East-Central Uganda: An interrupted time series analysis.Health science reports · 2021Article
- User fee policies and women's empowerment: a systematic scoping review.BMC health services research · 2020Article
- Peer supervision experiences of drug sellers in a rural district in East-Central Uganda: a qualitative study.Malaria journal · 2020Article
- Are there decision support tools that might strengthen the health system for perinatal care in South African district hospitals? A review of the literature.BMC health services research · 2019Review
- Assessing the Integrated Community-Based Health Systems Strengthening initiative in northern Togo: a pragmatic effectiveness-implementation study protocol.Implementation science : IS · 2019Article
- Incidence of catastrophic expenditures linked to obstetric and neonatal care at 92 facilities in Lubumbashi, Democratic Republic of the Congo, 2015.BMC public health · 2019Article
- An Evaluation of Healthcare Use and Child Morbidity 4 Years After User Fee Removal in Rural Burkina Faso.Maternal and child health journal · 2019Article
- How to assure access of essential RMNCH medicines by looking at policy and systems factors: an analysis of countdown to 2015 countries.BMC health services research · 2018Article
- Modelling the effect of a mass radio campaign on child mortality using facility utilisation data and the Lives Saved Tool (LiST): findings from a cluster randomised trial in Burkina Faso.BMJ global health · 2018Article
- Early changes in intervention coverage and mortality rates following the implementation of an integrated health system intervention in Madagascar.BMJ global health · 2018Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the impact on maternal and child mortality after eliminating user fees for pregnant women and for children less than five years of age in Burkina Faso.
methodsTwo health districts in the Sahel region eliminated user fees for facility deliveries and curative consultations for children in September 2008. To compare health-care coverage before and after this change, we used interrupted time series, propensity scores and three independent data sources. Coverage changes were assessed for four variables: women giving birth at a health facility, and children aged 1 to 59 months receiving oral rehydration salts for diarrhoea, antibiotics for pneumonia and artemesinin for malaria. We modelled the mortality impact of coverage changes in the Lives Saved Tool using several scenarios.
findingsCoverage increased for all variables, however, the increase was not statistically significant for antibiotics for pneumonia. For estimated mortality impact, the intervention saved approximately 593 (estimate range 168-1060) children's lives in both districts during the first year. This lowered the estimated under-five mortality rate from 235 deaths per 1000 live births in 2008 to 210 (estimate range 189-228) in 2009. If a similar intervention were to be introduced nationwide, 14,000 to 19,000 (estimate range 4000-28,000) children's lives could be saved annually. Maternal mortality showed a modest decrease in all scenarios.
conclusionIn this setting, eliminating user fees increased use of health services and may have contributed to reduced child mortality.
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