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Vision et Ambition

Notre vision Contribuer à l’amélioration de la santé de la reproduction, notamment celle de la mère et de l’enfant au Burkina Faso et dans la sous–région ouest Africaine. Nos missions Servir de guide opérationnel pour l’action aux structures, instituts, organisations intervenant dans le domaine de la santé de la reproduction ; Servir de cadre (...)

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Low coverage but few inclusion errors in Burkina Faso : a community-based targeting approach to exempt the indigent from user fees.


Ridde V, Haddad S, Nikiema B, Ouedraogo M, Kafando Y, Bicaba A : Low coverage but few inclusion errors in Burkina Faso : a community-based targeting approach to exempt the indigent from user fees. BMC Public Health 2010, 10:631



User fees were generalized in Burkina Faso in the 1990s. At the time of their implementation, it was envisioned that measures would be instituted to exempt the poor from paying these fees. However, in practice, the identification of indigents is ineffective, and so they do not have access to care. Thus, a community-based process for selecting indigents for user fees exemption was tested in a district. In each of the 124 villages in the catchment areas of ten health centres, village committees proposed lists of indigents that were then validated by the health centres’ management committees. The objective of this study is to evaluate the effectiveness of this community-based selection.

An indigent-selection process is judged effective if it minimizes inclusion biases and exclusion biases. The study compares the levels of poverty and of vulnerability of indigents selected by the management committees (n = 184) with : 1) indigents selected in the villages but not retained by these committees (n = 48) ; ii) indigents selected by the health centre nurses (n = 82) ; and iii) a sample of the rural population (n = 5,900).

The households in which the three groups of indigents lived appeared to be more vulnerable and poorer than the reference rural households. Indigents selected by the management committees and the nurses were very comparable in terms of levels of vulnerability, but the former were more vulnerable socially. The majority of indigents proposed by the village committees who lived in extremely poor households were retained by the management committees. Only 0.36% of the population living below the poverty threshold and less than 1% of the extremely poor population were selected.

The community-based process minimized inclusion biases, as the people selected were poorer and more vulnerable than the rest of the population. However, there were significant exclusion biases ; the selection was very restrictive because the exemption had to be endogenously funded.

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  Publication AFRICSanté

RESEARCH ARTICLE Prevalence of and Factors Associated with Human Cysticercosis in 60 Villages in Three Provinces of Burkina Faso

Hélène Carabin1*, Athanase Millogo2, Assana Cissé3, Sarah Gabriël4, Ida Sahlu5,6, Pierre Dorny4, Cici Bauer7, Zekiba Tarnagda8, Linda D Cowan1†, (...)

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RESEARCH ARTICLE :The obstetric care subsidy policy in Burkina Faso : what are the effects after five years of implementation ? Findings of a complex evaluation

Rasmané Ganaba1*, Patrick G. C. Ilboudo1, Jenny A. Cresswell2, Maurice Yaogo1, Cheick Omar Diallo3, Fabienne Richard4, Nadia Cunden5, Veronique (...)

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