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Determinants Of Utilisation Of Maternal Care Services After The Reduction Of User Fees: A Case Study From Rural Burkina Faso.

M. De Allegri, V. Ridde, V. Louis, M. Sarker, J. Tiendrébeogo, M. Yé, O. Müller, A. Jahn
Published 2011 · Medicine

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OBJECTIVE To identify determinants of utilisation for antenatal care (ANC) and skilled attendance at birth after a substantial reduction in user fees. METHODS The study was conducted in the Nouna Health District in north-western Burkina Faso in early 2009. Data was collected by means of a representative survey on a sample of 435 women who reported a pregnancy in the prior 12 months. Two independent logit models were used to assess the determinants of (a) ANC utilisation (defined as having attended at least 3 visits) and (b) skilled assistance at birth (defined as having delivered in a health facility). RESULTS 76% of women had attended at least 3 ANC visits and 72% had delivered in a facility. Living within 5 km from a facility was positively associated, while animist religion, some ethnicities, and household wealth were negatively associated with ANC utilisation. Some ethnicities, living within 5 km from a health facility, and having attended at least 3 ANC visits were positively associated with delivering in a facility. CONCLUSIONS User fee alleviation secured equitable access to care across socio-economic groups, but alone did not ensure that all women benefited from ANC and from skilled attendance at birth. Investments in policies to address barriers beyond financial ones are urgently needed.
This paper references
10.1056/NEJM192905232002115
Reduction of Maternal Mortality
O. Eastman (1929)
10.2307/2532371
Fundamentals of biostatistics
B. Rosner (1982)
User fees in the health sector
J. Wagao (1990)
10.1111/j.1479-828X.1991.tb02754.x
Determinants of Maternal Mortality in the Developing World
U. Stokoe (1991)
10.1007/978-1-349-22396-1
Strategies for health care finance in developing countries : with a focus on community financing in Sub-Saharan Africa
G. Carrin (1992)
10.1016/0277-9536(93)90382-E
User charges for health services in developing countries: a review of the economic literature.
B. McPake (1993)
10.1016/0277-9536(94)90226-7
Too far to walk: maternal mortality in context.
S. Thaddeus (1994)
10.1002/(SICI)1099-1050(199607)5:4<333::AID-HEC202>3.0.CO;2-K
Household characteristics affecting where mothers deliver in rural Kenya.
D. Hodgkin (1996)
10.1016/0301-2115(95)02535-9
Reduction of maternal and perinatal mortality in rural and peri-urban settings: what works?
B. Kwast (1996)
10.1016/S0277-9536(98)00240-8
Why do nurses abuse patients? Reflections from South African obstetric services.
R. Jewkes (1998)
10.1093/HEAPOL/14.1.38
Does antenatal care make a difference to safe delivery? A study in urban Uttar Pradesh, India.
S. Bloom (1999)
10.1002/(SICI)1099-1751(199907/09)14:3<179::AID-HPM548>3.0.CO;2-N
Why the poor pay more: household curative expenditures in rural Sierra Leone.
S. J. Fabricant (1999)
Coping with health - care costs : implications for the measurement of catastrophic [ PRESS cy xxx ( 2010 ) xxx – xxx 9 expenditures and poverty
G Flores (1999)
The World Health Organisation. Reduction of maternal mortality. A Joint WHO/UNFPA/UNICEF/World Bank Statement. The World Health Organisation: Geneva
(1999)
Coping with health - care costs : implications for the measurement of catastrophic [ cy 99 ( 2011 ) 210 – 218 expenditures and poverty
G Flores (1999)
10.1093/HEAPOL/15.1.1
Prenatal screening in rural Bangladesh: from prediction to care.
A. Vanneste (2000)
10.1016/S0277-9536(99)00495-5
Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities.
M. Magadi (2000)
10.2307/3583247
Why do at-risk mothers fail to reach referral level? Barriers beyond distance and cost.
M. Kowalewski (2000)
10.1590/S0042-96862001000700012
Effect of removing user fees on attendance for curative and preventive primary health care services in rural South Africa.
D. Wilkinson (2001)
10.1093/HEAPRO/16.4.381
Opportunities to improve maternal health literacy through antenatal education: an exploratory study.
S. Renkert (2001)
Ouagadougou: Ministère de la Santé du Burkina Faso
Ministère De La Santé Du Burkina (2001)
10.1093/HEAPOL/17.1.42
Perceived quality of care of primary health care services in Burkina Faso.
R. Baltussen (2002)
10.1016/S0968-8080(02)00083-6
Gender Dimensions of User Fees: Implications for Women’s Utilization of Health Care
P. Nanda (2002)
10.2307/3583147
Can mothers afford maternal health care costs? User costs of maternity services in rural Tanzania.
M. Kowalewski (2002)
10.1093/HEAPOL/17.3.273
Paying for reproductive health services in Bangladesh: intersections between cost, quality and culture.
S. Schuler (2002)
10.1046/j.1365-3156.2003.01111.x
Maternal mortality and access to obstetric services in West Africa
C. Ronsmans (2003)
10.1590/S0042-96862003000700012
Fees-for-services, cost recovery, and equity in a district of Burkina Faso operating the Bamako Initiative.
V. Ridde (2003)
10.1016/J.HEALTHPOL.2004.02.011
Ability to pay for maternal health services: what will it take to meet who standards?
N. Prata (2004)
10.1046/j.1365-3156.2003.01170.x
Use of antenatal care services and intermittent preventive treatment for malaria among pregnant women in Blantyre District, Malawi
T. Holtz (2004)
10.4314/EAMJ.V81I4.9161
Is the jury still out on the impact of user fees in Africa? A review of the evidence from selected countries on user fees and determinants of health service utilisation
G. Hutton (2004)
10.1002/HPM.770
Health worker (internal customer) satisfaction and motivation in the public sector in Ghana.
I. Agyepong (2004)
10.1186/1471-2288-4-9
Intracluster correlation coefficients in cluster randomized trials: empirical insights into how should they be reported
M. Campbell (2004)
10.1016/S0140-6736(05)71048-5
4 million neonatal deaths: When? Where? Why?
J. Lawn (2005)
10.1136/bmj.38664.482060.55
Women's experiences of and preferences for services after rape in South Africa: interview study
N. Christofides (2005)
10.1007/s10461-005-3905-z
The Role of HIV-Related Knowledge and Ethnicity in Determining HIV Risk Perception and Willingness to Undergo HIV Testing Among Rural Women in Burkina Faso
M. Sarker (2005)
10.1191/1740774505cn071oa
Determinants of the intracluster correlation coefficient in cluster randomized trials: the case of implementation research
M. Campbell (2005)
10.1590/S0042-96862005000700009
"Other patients are really in need of medical attention"--the quality of health services for rape survivors in South Africa.
N. Christofides (2005)
10.1186/1471-2458-5-140
Please understand when I cry out in pain: women's accounts of maternity services during labour and delivery in Ghana
L. D'Ambruoso (2005)
World Health Organisation. World Health Report 2005-reconciling maternal, newborn and child health with health system development. World Health Organisation
(2005)
10.3329/JHPN.V24I4.695
Overcoming Access Barriers for Facility-based Delivery in Low-income Settings: Insights from Bangladesh and Uganda
J. Parkhurst (2006)
10.1007/s10198-006-0031-4
The differences in characteristics between health-care users and non-users: implication for introducing community-based health insurance in Burkina Faso
H. Dong (2006)
10.1016/S0140-6736(06)69381-1
Strategies for reducing maternal mortality: getting on with what works
O. Campbell (2006)
10.1093/INTQHC/MZI079
Quality of care of modern health services as perceived by users and non-users in Burkina Faso.
R. Baltussen (2006)
10.1016/J.SOCSCIMED.2006.04.019
Factors associated with the use of maternity services in Enugu, southeastern Nigeria.
H. Onah (2006)
10.2471/BLT.05.023739
Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso.
T. T. Su (2006)
10.1007/s10198-006-0354-1
Determinants of household health expenditure on western institutional health care
T. T. Su (2006)
10.1016/S0398-7620(06)76748-7
Pauvreté et déterminants socioculturels de l'utilisation des services de santé maternelle en Côte d'Ivoire
A. Koné-péfoyo (2006)
10.2471/BLT.06.031336
Understanding enrolment in community health insurance in sub-Saharan Africa: a population-based case-control study in rural Burkina Faso.
M. De Allegri (2006)
10.1093/HEAPOL/CZL029
Constructing socio-economic status indices: how to use principal components analysis.
S. Vyas (2006)
[Poverty and sociocultural factors in the use of maternal health services in Ivory Coast].
A. Koné-péfoyo (2006)
Distribution systems of insecticidetreated bed nets formalaria control in rural Burkina Faso : clusterrandomized controlled trial
DeAllegriM MuellerO (2006)
Catastrophic household expenditure for health care in a low-income society: a study from Nouna health district
T Su (2006)
Stratégie nationale de subvention des accouchements et des soins obstétricaux et néonataux d'urgence au Burkina Faso
Ministère De La Santé Du Burkina (2006)
Evaluation of the delivery fee exemption policy in ghana: population estimates of changes in delivery service utilization in two regions.
Suzanne Penfold (2007)
10.1016/J.SOCSCIMED.2007.06.001
Barriers to the utilization of maternal health care in rural Mali.
A. Gage (2007)
10.4314/GMJ.V41I3.55278
Effect of delivery care user fee exemption policy on institutional maternal deaths in the central and volta regions of ghana.
Wk Bosu (2007)
10.1186/1471-2393-7-23
Use of antenatal services and delivery care in Entebbe, Uganda: a community survey
C. J. Tann (2007)
10.1016/S0968-8080(07)30325-X
The Experience of Ghana in Implementing a User Fee Exemption Policy to Provide Free Delivery Care
S. Witter (2007)
10.1007/s10995-007-0288-y
Use of Health Professionals for Delivery Following the Availability of Free Obstetric Care in Northern Ghana
Samuel Mills (2007)
10.1186/1471-2393-7-29
Use pattern of maternal health services and determinants of skilled care during delivery in Southern Tanzania: implications for achievement of MDG-5 targets
Rose N M Mpembeni (2007)
The World Health Organisation. Maternal mortality in 2005: estimates developed by WHO, UNICEF, UNFPA, and the World Bank. Geneva: The World Health Organisation
(2007)
10.1371/journal.pone.0003182
Distribution Systems of Insecticide-Treated Bed Nets for Malaria Control in Rural Burkina Faso: Cluster-Randomized Controlled Trial
O. Müller (2008)
10.1186/1742-7622-5-3
Issues in the construction of wealth indices for the measurement of socio-economic position in low-income countries
L. Howe (2008)
10.1111/j.1365-3156.2008.02086.x
Accessibility and utilisation of delivery care within a Skilled Care Initiative in rural Burkina Faso
S. Hounton (2008)
Maternal mortality in 2005 : estimates developed by WHO, UNICEF, UNFPA and the World Bank
L. Say (2008)
10.1007/s10900-008-9120-x
On the Spatial Inequalities of Institutional Versus Home Births in Ghana: A Multilevel Analysis
Fiifi Amoako Johnson (2008)
10.1093/HEAPOL/CZM044
Detention of insolvent patients in Burundian hospitals.
Juliane Kippenberg (2008)
10.1111/j.1365-3156.2008.02089.x
From evaluating a Skilled Care Initiative in rural Burkina Faso to policy implications for safe motherhood in Africa
N. Meda (2008)
10.1002/hec.1338
Coping with Health-Care Costs: Implications for the Measurement of Catastrophic Expenditures and Poverty
Gabriela Flores (2008)
10.1186/1472-6963-9-89
A process evaluation of user fees abolition for pregnant women and children under five years in two districts in Niger (West Africa)
V. Ridde (2009)
10.1016/j.socscimed.2009.06.023
Improving poor women's access to maternity care: Findings from a primary care intervention in Burkina Faso.
E. Brazier (2009)
Recension des écrits scientifiques sur l'abolition des frais aux usagers dans les services de santé en Afrique : document de travail
Valéry Ridde (2009)
10.2471/BLT.07.047076
Improved access to comprehensive emergency obstetric care and its effect on institutional maternal mortality in rural Mali.
P. Fournier (2009)
10.1186/1471-2393-9-43
Determinants of use of maternal health services in Nigeria - looking beyond individual and household factors
S. Babalola (2009)
10.3402/gha.v2i0.1881
Providing free maternal health care: ten lessons from an evaluation of the national delivery exemption policy in Ghana
S. Witter (2009)
10.1186/1471-2393-9-34
Still too far to walk: Literature review of the determinants of delivery service use
S. Gabrysch (2009)
The Global Campaign for the Health Millennium Development Goals. Leading by example -protecting the most vulnerable during the economic crisis. Oslo: Office of the Prime Minister of Norway
(2009)
Une recension des écrits scientifiques sur l'abolition des frais aux usagers dans les services de santé en Afrique
V Ridde (2009)
10.1016/j.socscimed.2010.02.002
Illness reporting and demand for medical care in rural Burkina Faso.
S. Pokhrel (2010)
10.1016/S0140-6736(10)60518-1
Maternal mortality for 181 countries, 1980–2008: a systematic analysis of progress towards Millennium Development Goal 5
M. Hogan (2010)
10.1186/1475-2875-9-352
Different delivery mechanisms for insecticide-treated nets in rural Burkina Faso: a provider's perspective
C. Beiersmann (2010)
Les pression exercées par l'abolition du paiment de soins sur les systèmes de santé. Geneva: The World Health Organisation, Department of Health System Financing
V Ridde (2010)
10.1097/01.AOA.0000397097.96320.28
Maternal Mortality for 181 Countries, 1980−2008: A Systematic Analysis of Progress Toward Millennium Development Goal 5
M. C. Hogan (2011)
10.1353/dem.2001.0003
Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India*
D. Filmer (2011)
10.1057/jphp.2012.27
The impact of targeted subsidies for facility-based delivery on access to care and equity – Evidence from a population-based study in rural Burkina Faso
M. De Allegri (2012)
10.1177/1049732311431897
Antenatal Care Services in Rural Uganda
Paul Conrad (2012)
Do targeted subsidies increase access to facility-based delivery? Evidence from a population-based study in rural Burkina Faso
M De Allegri
Do targeted subsidies increase access to facility - based delivery ? Evidence from a population - based study in rural Burkina Faso
V Ridde



This paper is referenced by
10.1186/s12913-021-06145-5
Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
Hilaire Zon (2021)
10.2147/IJWH.S306302
Prevalence and Socioeconomic Inequalities in Eight or More Antenatal Care Contacts in Ghana: Findings from 2019 Population-Based Data
Michael Ekholuenetale (2021)
The relationship between spatial access and modern contraceptive use: is proximity to a healthcare facility a determinant of use among women in Kinshasa, DRC? [version 1; peer review: 1 approved with reservations]
S. Babazadeh (2021)
10.1016/j.healthpol.2021.01.005
Does an alignment of employment policies and individual preferences affect intention to stay in the profession? Evidence from Canadian Midwives.
Farimah HakemZadeh (2021)
10.12688/GATESOPENRES.13229.1
The relationship between spatial access and modern contraceptive use: is proximity to a healthcare facility a determinant of use among women in Kinshasa, DRC?
S. Babazadeh (2021)
10.1371/journal.pone.0244811
What influences home delivery among women who live in urban areas? Analysis of 2014 Ghana Demographic and Health Survey data.
B. O. Ahinkorah (2021)
10.1093/heapol/czab087
Geographic barriers to achieving universal health coverage: evidence from rural Madagascar.
A. Garchitorena (2021)
10.1177/2333794X211045822
Prevalence of Eight or More Antenatal Care Contacts: Findings From Multi-Country Nationally Representative Data
Michael Ekholuenetale (2021)
10.1101/2020.07.15.20155002
Geographic Barriers to Achieving Universal Health Coverage in a rural district of Madagascar
A. Garchitorena (2020)
10.1186/s12884-020-02879-y
Ratios and determinants of maternal mortality: a comparison of geographic differences in the northern and southern regions of Cameroon
C. Meh (2020)
10.1111/tmi.13468
Effect of a free healthcare policy on health services utilisation for non‐malarial febrile illness by children under five years in Burkina Faso: an interrupted time series analysis
D. Sia (2020)
10.1186/s12884-020-03211-4
Predictors of home births among rural women in Ghana: analysis of data from the 2014 Ghana Demographic and Health Survey
Eugene Budu (2020)
10.1136/bmjgh-2020-003647
District-level health system strengthening for universal health coverage: evidence from a longitudinal cohort study in rural Madagascar, 2014-2018
A. Garchitorena (2020)
10.1177/1757975920941435
Pro-equity legislation, health policy and utilisation of sexual and reproductive health services by vulnerable populations in sub-Saharan Africa: a systematic review
Muriel Mac-Seing (2020)
10.1186/s12942-020-00220-6
Improving geographical accessibility modeling for operational use by local health actors
F. Ihantamalala (2020)
10.1093/inthealth/ihz118
Inequalities in access to birth by caesarean section in the context of user fee exemption for maternal health services in southwest and north central Nigeria.
A. Ajayi (2020)
10.1016/j.sciaf.2020.e00535
Social networks and antenatal care utilisation in Tanzania
A. Mukong (2020)
10.1101/2020.03.09.20033100
Improving geographical accessibility modeling for operational use by local health actors
F. Ihantamalala (2020)
10.1186/s41182-020-00226-7
Trends and factors associated with the utilisation of antenatal care services during the Millennium Development Goals era in Tanzania
Abdon G Rwabilimbo (2020)
10.1155/2020/8649598
Effect of Implementing a Free Delivery Service Policy on Women's Utilization of Facility-Based Delivery in Central Ethiopia: An Interrupted Time Series Analysis
Ayalneh Demissie (2020)
10.1016/j.midw.2020.102881
Modifiable socio-cultural beliefs and practices influencing early and adequate utilisation of antenatal care in rural Bangladesh: A qualitative study.
M. Nisha (2020)
Breastfeeding practices and health facility births in South Sudan
Justin Bruno Tongun (2020)
10.3390/ijerph17218172
Women’s Empowerment as a Mitigating Factor for Improved Antenatal Care Quality despite Impact of 2014 Ebola Outbreak in Guinea
Laura K Merrell (2020)
10.1016/j.srhc.2020.100536
Socioeconomic inequalities in reproductive health care services across Sub-Saharan Africa. A systematic review and meta-analysis.
O. J. Ogundele (2020)
AGE, EDUCATIONAL LEVEL AND THE CONSUMPTION OF MEDICAL CARE: EVIDENCE FROM MALAYSIA
Yong Kang Cheah (2020)
10.12765/cpos-2020-19
Mothers’ Preventive Health Care Practices and Children’s Survival in Burkina Faso: Findings from Repeated Cross-sectional Household Surveys
B. Hermann (2020)
10.1136/bmjopen-2019-031890
Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review
I. Okedo-Alex (2019)
10.1002/hec.3856
User fee exemption and maternal health care utilisation at mission health facilities in Malawi: An application of disequilibrium theory of demand and supply
Gerald Manthalu (2019)
10.1186/s12889-019-7150-1
Assessing the impact of geographical access to health facilities on maternal healthcare utilization: evidence from the Burkina Faso demographic and health survey 2010
Mariam Tanou (2019)
10.1016/j.socscimed.2019.112582
How do supply- and demand-side interventions influence equity in healthcare utilisation? Evidence from maternal healthcare in Senegal.
D. Parmar (2019)
Factors That Influence Place of Delivery Choice Among Expectant Mothers in Ghana
B. Mahama (2019)
10.15171/ijhpm.2019.67
Predictors of Utilisation of Skilled Maternal Healthcare in Lilongwe District, Malawi
Isabel Kazanga (2019)
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