Targeting the worst-off for free health care : a process evaluation in Burkina Faso

Simple item page
dc.contributor.authorRidde, Valéry
dc.contributor.authorYaogo, Maurice
dc.contributor.authorKafando, Yamba
dc.contributor.authorKadio, Kadidiatou
dc.contributor.authorOuedraogo, Moctar
dc.contributor.authorBicaba, Abel
dc.contributor.authorHaddad, Slim
dc.date.accessioned2013-06-07T16:31:06Z
dc.date.available2013-06-07T16:31:06Z
dc.date.copyright2011
dc.date.issued2011
dc.description.abstractEffective mechanisms to exempt the indigent from user fees at health care facilities are rare in Africa. A State-led intervention (2004–2005) and two action research projects (2007–2010) were implemented in a health district in Burkina Faso to exempt the indigent from user fees. This article presents the results of the process evaluation of these three interventions. Individual and group interviews were organized with the key stakeholders (health staff, community members) to document the strengths and weaknesses of key components of the interventions (relevance and uptake of the intervention, worst-off selection and information, financial arrangements). Data was subjected to content analysis and thematic analysis. The results show that all three intervention processes can be improved. Community-based targeting was better accepted by the stakeholders than was the State-led intervention. The strengths of the community-based approach were in clearly defining the selection criteria, informing the waiver beneficiaries, using a participative process and using endogenous funding. A weakness was that using endogenous funding led to restrictive selection by the community. The community-based approach appears to be the most effective, but it needs to be improved and retested to generate more knowledge before scaling up.en
dc.formatTexten
dc.format.extent1 digital file (p. 333-342)en
dc.format.mimetypeApplication/pdf
dc.identifier.citationRidde, V., Yaogo, M., Kafando, Y., Kadio, K., Ouedraogo, M., Bicaba, A., & Haddad, S. (2011). Targeting the worst-off for free health care: A process evaluation in Burkina Faso. Evaluation and Program Planning, 34, 333-342.doi:10.1016/j.evalprogplan.2011.03.007en
dc.identifier.issn0149-7189
dc.identifier.urihttp://hdl.handle.net/10625/51323
dc.language.isoen
dc.publisherElsevieren
dc.subjectEXEMPTIONen
dc.subjectWORST-OFFen
dc.subjectTARGETINGen
dc.subjectPROCESS EVALUATIONen
dc.subjectBURKINA FASOen
dc.subjectFREE HEALTH CAREen
dc.subjectUSER CHARGESen
dc.subjectCOMMUNITY PARTICIPATIONen
dc.subjectPOVERTYen
dc.subjectRIGHT TO HEALTHen
dc.subjectHEALTH SERVICESen
dc.subjectHEALTHCARE COSTSen
dc.titleTargeting the worst-off for free health care : a process evaluation in Burkina Fasoen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderElsevier
idrc.dspace.accessIDRC Onlyen
idrc.noaccessDue to copyright restrictions the full text of this research output is not available in the IDRC Digital Library or by request from the IDRC Library. / Compte tenu des restrictions relatives au droit d'auteur, le texte intégral de cet extrant de recherche n'est pas accessible dans la Bibliothèque numérique du CRDI, et il n'est pas possible d'en faire la demande à la Bibliothéque du CRDI.en
idrc.project.number103858
idrc.project.titleCommunity Exemption from Payment for Health Services (Burkina Faso)en
idrc.rims.adhocgroupIDRC SUPPORTEDen

Files

Collections

IDRC Research Results / Résultats de recherches du CRDI
2010-2019 / Années 2010-2019
Research Results (GEHS) / Résultats de recherches (GESS)