Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso: evidence from a cost-effectiveness analysis
Objectives - The reduction and removal of user fees for essential care services have recently become a key instrument to advance universal health coverage in sub-Saharan Africa, but no evidence exists on its cost-effectiveness. We aimed to address this gap by estimating the cost-effectiveness of 2 u...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
17 January 2020
|
| In: |
Value in health
Year: 2020, Volume: 23, Issue: 3, Pages: 300-308 |
| ISSN: | 1524-4733 |
| DOI: | 10.1016/j.jval.2019.10.007 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jval.2019.10.007 Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S1098301519351794 
|
| Author Notes: | Hoa Thi Nguyen, Aleksandra Torbica, Stephan Brenner, Joël Arthur Kiendrébéogo, Ludovic Tapsoba, Valéry Ridde, Manuela De Allegri |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1696965306 | ||
| 003 | DE-627 | ||
| 005 | 20220818063550.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 200430s2020 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jval.2019.10.007 |2 doi | |
| 035 | |a (DE-627)1696965306 | ||
| 035 | |a (DE-599)KXP1696965306 | ||
| 035 | |a (OCoLC)1341317986 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Nguyen, Hoa Thi |d 1980- |e VerfasserIn |0 (DE-588)114906613X |0 (DE-627)1009349880 |0 (DE-576)496533169 |4 aut | |
| 245 | 1 | 0 | |a Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso |b evidence from a cost-effectiveness analysis |c Hoa Thi Nguyen, Aleksandra Torbica, Stephan Brenner, Joël Arthur Kiendrébéogo, Ludovic Tapsoba, Valéry Ridde, Manuela De Allegri |
| 264 | 1 | |c 17 January 2020 | |
| 300 | |a 9 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 30.04.2020 | ||
| 520 | |a Objectives - The reduction and removal of user fees for essential care services have recently become a key instrument to advance universal health coverage in sub-Saharan Africa, but no evidence exists on its cost-effectiveness. We aimed to address this gap by estimating the cost-effectiveness of 2 user-fee exemption interventions in Burkina Faso between 2007 and 2015: the national 80% user-fee reduction policy for delivery care services and the user-fee removal pilot (ie, the complete [100%] user-fee removal for delivery care) in the Sahel region. - Methods - We built a single decision tree to evaluate the cost-effectiveness of the 2 study interventions and the baseline. The decision tree was populated with an own impact evaluation and the best available epidemiological evidence. - Results - Relative to the baseline, both the national 80% user-fee reduction policy and the user-fee removal pilot are highly cost-effective, with incremental cost-effectiveness ratios of $ 210.22 and $ 252.51 per disability-adjusted life-year averted, respectively. Relative to the national 80% user-fee reduction policy, the user-fee removal pilot entails an incremental cost-effectiveness ratio of $ 309.74 per disability-adjusted life-year averted. - Conclusions - Our study suggests that it is worthwhile for Burkina Faso to move from an 80% reduction to the complete removal of user fees for delivery care. Local analyses should be done to identify whether it is worthwhile to implement user-fee exemptions in other sub-Saharan African countries. | ||
| 650 | 4 | |a Burkina Faso | |
| 650 | 4 | |a economic evaluation | |
| 650 | 4 | |a facility-based delivery | |
| 650 | 4 | |a maternal care | |
| 650 | 4 | |a user-fee exemptions | |
| 700 | 1 | |a Torbica, Aleksandra |e VerfasserIn |4 aut | |
| 700 | 1 | |a Brenner, Stephan |d 1976- |e VerfasserIn |0 (DE-588)136445217 |0 (DE-627)583292666 |0 (DE-576)286813602 |4 aut | |
| 700 | 1 | |a Kiendrébéogo, Joël |e VerfasserIn |0 (DE-588)1202865984 |0 (DE-627)1687422761 |4 aut | |
| 700 | 1 | |a Tapsoba, Ludovic |e VerfasserIn |4 aut | |
| 700 | 1 | |a Ridde, Valéry |e VerfasserIn |4 aut | |
| 700 | 1 | |a De Allegri, Manuela |d 1975- |e VerfasserIn |0 (DE-588)131974904 |0 (DE-627)516328913 |0 (DE-576)298870975 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Value in health |d Amsterdam [u.a.] : Elsevier, 1998 |g 23(2020), 3, Seite 300-308 |h Online-Ressource |w (DE-627)32049117X |w (DE-600)2011039-X |w (DE-576)09116978X |x 1524-4733 |7 nnas |a Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso evidence from a cost-effectiveness analysis |
| 773 | 1 | 8 | |g volume:23 |g year:2020 |g number:3 |g pages:300-308 |g extent:9 |a Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso evidence from a cost-effectiveness analysis |
| 856 | 4 | 0 | |u https://doi.org/10.1016/j.jval.2019.10.007 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u http://www.sciencedirect.com/science/article/pii/S1098301519351794 |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20200430 | ||
| 993 | |a Article | ||
| 994 | |a 2020 | ||
| 998 | |g 131974904 |a De Allegri, Manuela |m 131974904:De Allegri, Manuela |d 910000 |d 912800 |d 50000 |e 910000PD131974904 |e 912800PD131974904 |e 50000PD131974904 |k 0/910000/ |k 1/910000/912800/ |k 0/50000/ |p 7 |y j | ||
| 998 | |g 136445217 |a Brenner, Stephan |m 136445217:Brenner, Stephan |d 910000 |d 912800 |e 910000PB136445217 |e 912800PB136445217 |k 0/910000/ |k 1/910000/912800/ |p 3 | ||
| 998 | |g 114906613X |a Nguyen, Hoa Thi |m 114906613X:Nguyen, Hoa Thi |d 910000 |d 912800 |e 910000PN114906613X |e 912800PN114906613X |k 0/910000/ |k 1/910000/912800/ |p 1 |x j | ||
| 999 | |a KXP-PPN1696965306 |e 3646572345 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"name":{"displayForm":["Hoa Thi Nguyen, Aleksandra Torbica, Stephan Brenner, Joël Arthur Kiendrébéogo, Ludovic Tapsoba, Valéry Ridde, Manuela De Allegri"]},"note":["Gesehen am 30.04.2020"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"id":{"doi":["10.1016/j.jval.2019.10.007"],"eki":["1696965306"]},"title":[{"subtitle":"evidence from a cost-effectiveness analysis","title":"Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso","title_sort":"Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso"}],"language":["eng"],"origin":[{"dateIssuedDisp":"17 January 2020","dateIssuedKey":"2020"}],"recId":"1696965306","relHost":[{"type":{"bibl":"periodical","media":"Online-Ressource"},"id":{"doi":["10.1111/(ISSN)1524-4733"],"zdb":["2011039-X"],"issn":["1524-4733"],"eki":["32049117X"]},"part":{"pages":"300-308","text":"23(2020), 3, Seite 300-308","year":"2020","volume":"23","extent":"9","issue":"3"},"note":["Gesehen am 01.12.2023","Fortsetzung der Druck-Ausgabe"],"physDesc":[{"extent":"Online-Ressource"}],"title":[{"subtitle":"the official journal of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR)","title_sort":"Value in health","title":"Value in health"}],"pubHistory":["1.1998 -"],"disp":"Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso evidence from a cost-effectiveness analysisValue in health","language":["eng"],"origin":[{"dateIssuedDisp":"1998-","dateIssuedKey":"1998","publisher":"Elsevier ; Blackwell Science ; Blackwell ; Wiley-Blackwell","publisherPlace":"Amsterdam [u.a.] ; Malden, Mass. ; Oxford [u.a.] ; Oxford [u.a.]"}],"recId":"32049117X"}],"physDesc":[{"extent":"9 S."}],"person":[{"roleDisplay":"VerfasserIn","given":"Hoa Thi","family":"Nguyen","role":"aut","display":"Nguyen, Hoa Thi"},{"role":"aut","display":"Torbica, Aleksandra","roleDisplay":"VerfasserIn","given":"Aleksandra","family":"Torbica"},{"display":"Brenner, Stephan","role":"aut","given":"Stephan","family":"Brenner","roleDisplay":"VerfasserIn"},{"given":"Joël","family":"Kiendrébéogo","roleDisplay":"VerfasserIn","display":"Kiendrébéogo, Joël","role":"aut"},{"family":"Tapsoba","given":"Ludovic","roleDisplay":"VerfasserIn","display":"Tapsoba, Ludovic","role":"aut"},{"display":"Ridde, Valéry","role":"aut","given":"Valéry","family":"Ridde","roleDisplay":"VerfasserIn"},{"display":"De Allegri, Manuela","role":"aut","given":"Manuela","family":"De Allegri","roleDisplay":"VerfasserIn"}]} | ||
| SRT | |a NGUYENHOATECONOMICEV1720 | ||