ArticleFrontiers in reproductive health2026
Free but declining: the paradox of contraceptive uptake in Burkina Faso.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: In 2020, Burkina Faso expanded its national user fee exemption policy to include family planning services, with the objective of reducing financial barriers and increasing uptake of modern contraceptive methods. This study assesses the national and subnational trends in modern contraceptive uptake before and after the user fee exemption policy amongst women of reproductive age (WRA) in Burkina Faso. Methods: To achieve this objective, we collected routine health facility and demographic data spanning the pre-intervention period (2016-2018) and the post-intervention period (2021-2024). Mixed-effects linear models examined district-level variations in modern contraceptive uptake, while descriptive analyses explored group differences and temporal trends in contraceptive uptake among WRA between 2021 and 2024. Results: At the national level, overall contraceptive uptake (all methods) declined by 3.26 percentage points between the pre- and post-policy periods ( Conclusion: The removal of user fees for family planning services in Burkina Faso was insufficient to reverse declining modern contraceptive uptake with adult women and those living in rural and conflict-affected areas benefiting least. These findings highlight the need for complementary non-financial strategies to improve potential gains of the user fee exemption policy.
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