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
Background: In 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. Methods: Data gathering i...
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| Main Authors: | , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
10 May 2023
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| In: |
Healthcare
Year: 2023, Volume: 11, Issue: 10, Pages: 1-12 |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare11101379 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.3390/healthcare11101379 Verlag, kostenfrei, Volltext: https://www.mdpi.com/2227-9032/11/10/1379 
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| Author Notes: | Ludovic D.G. Tapsoba, Mimbouré Yara, Meike I. Nakovics, Serge M.A. Somda, Julia Lohmann, Paul J. Robyn, Saidou Hamadou, Hervé Hien and Manuela De Allegri |
| Summary: | Background: In 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. Methods: Data 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. Results: About 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. Conclusion: Children 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. |
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| Item Description: | Gesehen am 05.07.2023 |
| Physical Description: | Online Resource |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare11101379 |