Evidence map›Paper›PMID 37239664›Full record

ArticleHealthcare (Basel, Switzerland)2023

Do Out-of-Pocket Payments for Care for Children under 5 Persist Even in a Context of Free Healthcare in Burkina Faso? Evidence from a Cross-Sectional Population-Based Survey.

Ludovic D G Tapsoba, Mimbouré Yara, Meike I Nakovics, Serge M A Somda, Julia Lohmann, Paul J Robyn, Saidou Hamadou, Hervé Hien, Manuela De Allegri

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ludovic D G TapsobaCentre MURAZ, National Institute of Public Health, Bobo-Dioulasso 390, Burkina Faso.ORCID 0009-0005-8030-0170
Mimbouré YaraCentre MURAZ, National Institute of Public Health, Bobo-Dioulasso 390, Burkina Faso.
Meike I NakovicsHeidelberg Institute of Global Health, Medical Faculty and University Hospital, University of Heidelberg, 69120 Heidelberg, Germany.
Serge M A SomdaCentre MURAZ, National Institute of Public Health, Bobo-Dioulasso 390, Burkina Faso.ORCID 0000-0001-9855-9395
Julia LohmannHeidelberg Institute of Global Health, Medical Faculty and University Hospital, University of Heidelberg, 69120 Heidelberg, Germany.
Paul J RobynThe World Bank Group, 1818 H St. NW, Washington, DC 20433, USA.
Saidou HamadouThe World Bank Group, 1818 H St. NW, Washington, DC 20433, USA.
Hervé HienCentre MURAZ, National Institute of Public Health, Bobo-Dioulasso 390, Burkina Faso.
Manuela De AllegriHeidelberg Institute of Global Health, Medical Faculty and University Hospital, University of Heidelberg, 69120 Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn April 2016, Burkina Faso began free healthcare for children aged from 0 to 5 years. However, its implementation faces challenges, and the goal of this study is to estimate the fees paid for this child care and to determine the causes of these direct payments.

methodsData gathering involved 807 children aged from 0 to 5 years who had contact with the public healthcare system. The estimation of the determinants of out-of-pocket health payments involved the application of a two-part regression model.

resultsAbout 31% of the children made out-of-pocket payments for healthcare (an average of 3407.77 CFA francs per case of illness). Of these, 96% paid for medicines and 24% paid for consultations. The first model showed that out-of-pocket payments were positively associated with hospitalization, urban area of residence, and severity of illness, were made in the East-Central and North-Central regions, and were negatively associated with the 7 to 23 month age range. The second model showed that hospitalization and severity of illness increased the amount of direct health payments.

conclusionChildren targeted by free healthcare still make out-of-pocket payments. The dysfunction of this policy needs to be studied to ensure adequate financial protection for children in Burkina Faso.

Indexed as

Burkina Fasochildren under 5free healthcareout-of-pocket payments

Identifiers

PMID37239664
PMCPMC10218663

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.