reducing the medical cost of deliveries in burkina faso is good for everyone, including the poor降低医疗成本的交付在布基纳法索有益于每个人,包括穷人.pdfVIP

Reducing the Medical Cost of Deliveries in Burkina Faso Is Good for Everyone, Including the Poor ´ 1,2,3 3 3 3 1,2 Valery Ridde *, Seni Kouanda , Aristide Bado , Nicole Bado , Slim Haddad 1 Research Centre of the University of Montreal Hospital Centre (CRCHUM), Montreal, Quebec, Canada, 2 Department of Social and Preventive Medicine, University of ´ Montreal, Montreal, Quebec, Canada, 3 Institut de recherche en sciences de la sante (IRSS) du CNRST, Ouagadougou, Burkina Faso Abstract Since 2007, Burkina Faso has subsidized 80% of the costs of child birth. Women are required to pay 20% (900 F CFA = 1.4 Euros), except for the indigent, who are supposed to be exempted. The objective of the policy is to increase service utilization and reduce costs for households. We analyze the efficacy of the policy and the distribution of its benefits. The study was carried out in Ouargaye district. The analysis was based on two distinct cross-sectional household surveys, conducted before (2006; n = 1170) and after (2010; n = 905) the policy, of all women who had had a vaginal delivery in a public health centre. Medical expenses for delivery decreased from a median of 4,060 F CFA in 2006 to 900 F CFA in 2010 (p,0.001). There was pronounced contraction in the distribution of expenses and a reduction in interquartile range. Total expenses for delivery went from a median of 7,366 F CFA in 2006 to 4,750 F CFA in 2010 (p = 0.001). There was no exacerbation of the initial inequalities of the share in consumption after the policy. The distribution of benefits for medical expenses showed a progressive