A process evaluation of user fees abolition for pregnant women and children under five years in two districts in Niger (West Africa)

BMC Health Services Research

Volumn 9, Issue , 2009, Pages

  Ridde, Valéry ^a,b   Diarra, Aissa ^c  

^a UNIVERSITÉ DE MONTRÉAL   (Canada)

^b CENTRE HOSPITALIER DE L UNIVERSITÉ DE MONTRÉAL   (Canada)

^c LASDEL   (Niger)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIMALARIAL AGENT; CHLOROQUINE; FANSIDAR; MAGNESIUM SULFATE; OXYTOCIC AGENT;

AMBULANCE; ARTICLE; AWARENESS; CHILD WELFARE; CONTROLLED STUDY; DRUG COST; FUNDING; GOVERNMENT; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE MANAGEMENT; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH CENTER; HEALTH PROGRAM; INTERVIEW; MEDICAL FEE; NIGER; PARTICIPANT OBSERVATION; PREGNANT WOMAN; PUBLIC OPINION; STRUCTURED QUESTIONNAIRE; ADULT; CLINICAL TRIAL; COMMUNITY CARE; ECONOMICS; FEE; FEMALE; HEALTH CARE DELIVERY; HEALTH SERVICES RESEARCH; HUMAN; INFANT; INTERVENTION STUDY; MALE; MULTICENTER STUDY; NEWBORN; OBSERVATION; POVERTY; PREGNANCY; PRESCHOOL CHILD; QUESTIONNAIRE;

ADULT; CHILD, PRESCHOOL; FEES AND CHARGES; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES RESEARCH; HUMANS; INFANT; INFANT, NEWBORN; INTERVENTION STUDIES; INTERVIEWS AS TOPIC; MALE; NIGER; OBSERVATION; POVERTY; PREGNANCY; PROCESS ASSESSMENT (HEALTH CARE); QUESTIONNAIRES; UNCOMPENSATED CARE;

EID: 67650723712     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-9-89     Document Type: Article

References (63)

1. Eliminating world poverty making governance work for the poor. A White Paper on International Development. DFID, London 2006 130
2. Challenging inequity through health systems. Final report Knowledge Network on Health Systems. L Gilson J Doherty R Loewenson V Francis, WHO Commission on the Social Determinants of Health. Equinet. CHP. LSHTM 2007 49
3. From evaluating a Skilled Care Initiative in rural Burkina Faso to policy implications for safe motherhood in Africa. N Meda S Hounton V De Brouwere I Sombie P Byass on behalf of the IMMPACT Burkina Evaluation Study Group, Tropical Medicine & International Health 2008 13 Suppl 1 68 72 (Pubitemid 351831814)
4. Impact on child mortality of removing user fees: simulation model. C James SS Morris R Keith A Taylor, Br Med J 2005 331 7519 747 749 10.1136/bmj.331.7519.747 (Pubitemid 41414943)
5. Evaluation du système de recouvrement des cots au niveau des districts sanitaires du Niger. R Bitran R Munoz, Bitran & Associés; 2005 40
6. Problems of cost recovery implementation in district health care: a case study from Niger. LE Meuwissen, Health Policy Plan 2002 17 3 304 313 10.1093/heapol/17.3.304 12135997 (Pubitemid 34988081)
7. To Retain or Remove User Fees? Reflections on the Current Debate in Low- and Middle-Income Countries. C James K Hanson B McPake D Balabanova D Gwatkin I Hopwood C Kirunga R Knippenberg B Meessen S Morris, Appl Health Econ Health Policy 2006 5 3 137 153 10.2165/00148365-200605030-00001 17132029
8. Fees-for-services, cost recovery, and equity in a district of Burkina Faso operating the Bamako Initiative. V Ridde, Bull World Health Organ 2003 81 7 532 538 12973646 (Pubitemid 36909179)
9. User fees and patient behaviour: evidence from Niamey National Hospital. V Weather, Health Policy Plan 1995 10 350 361 10.1093/heapol/10.4.350 10154359
10. Protecting households from catastrophic health spending. K Xu DB Evans G Carrin AM Aguilar-Rivera P Musgrove T Evans, Health Aff (Millwood) 2007 26 4 972 983 10.1377/hlthaff.26.4.972 17630440
11. Waivers and exemptions for health services in developing countries. Final draft. R Bitran U Giedion, World Bank 2002 89
12. Exemptions and waivers from cost sharing: ineffective safety nets in decentralized districts in Uganda. GW Kivumbi F Kintu, Health Policy Plan 2002 17 suppl 1 64 71 10.1093/heapol/17.suppl-1.64
13. Health financing to promote access in low income settings how much do we know? N Palmer DH Mueller L Gilson A Mills A Haines, Lancet 2004 364 1365 1370 10.1016/S0140-6736(04)17195-X 15474141
14. Community-based health insurance in low-income countries: a systematic review of the evidence. B Ekman, Health Policy Plan 2004 19 5 249 270 10.1093/heapol/czh031 15310661
15. "The problem of the worst-off is dealt with after all other issues": The equity and health policy implementation gap in Burkina Faso. V Ridde, Social Science and Medicine 2008 66 1368 1378 10.1016/j.socscimed.2007. 10.026
16. Les fonds d'équité, une stratégie pour améliorer l'accès aux soins des plus pauvres en Afrique? M Noirhomme J-M Thomé L'Assurance maladie en Afrique francophone: Améliorer l'accès aux soins et lutter contre la pauvreté Washington: Banque mondiale, Dussault G, Fournier P, Letourmy A, 2006 431 454
17. The experience of Ghana in implementing a user fee exemption policy to provide free delivery care. S Witter DK Arhinful A Kusi S Zakariah-Akoto, Reprod Health Matters 2007 15 30 61 71 10.1016/S0968-8080(07)30325-X 17938071
18. Evaluating the economic outcomes of the policy of fee exemption for maternal delivery care in Ghana. FA Asante C Chikwama A Daniels M Armarklemesu, Ghana Med J 2007 41 3 110 117 18470328
19. National fee exemption schemes for deliveries: comparing the recent experiences of Ghana and Senegal. S Witter M Armar-Klemesu T Dieng, Reducing financial barriers to obstetric care in low-income countries SHSOP Series: Studies in Health Services Organisation & Policy. ITG Press, Richard F, Witter S, De Brouwere V, 2008 167 198
20. Economic and Welfare Impact of the Abolition of Health User Fees: Evidence from Uganda. K Deininger P Mpuga, Journal of African Economies 2005 14 1 55 91 10.1093/jae/ejh034
21. Discontinuation of cost sharing in Uganda. GM Burnham G Pariyo E Galiwango F Wabwire-Mangen, Bull World Health Organ 2004 82 3 187 195 15112007 (Pubitemid 38524324)
22. Abolition of cost-sharing is pro-poor: evidence from Uganda. J Nabyonga M Desmet H Karamagi P Kadama F Omaswa O Walker, Health Policy Plan 2005 20 2 100 108 10.1093/heapol/czi012 15746218
23. Understanding the impact of eliminating user fees: utilization and catastrophic health expenditures in Uganda. K Xu DB Evans P Kadama J Nabyonga PO Ogwal P Nabukhonzo AM Aguilar, Soc Sci Med 2006 62 4 866 876 10.1016/j.socscimed.2005.07.004 16139936
24. Evaluation of the Delivery Fee Exemption Policy in Ghana: Population estimates of changes in delivery service utilization. S Penfold E Harrison J Bell A Fitzmaurice, Ghana Med J 2007 41 3
25. Examination of attendance patterns before and after introduction of South Africa's policy of free health care for children aged under 6 years and pregnant women. D Wilkinson ME Sach SS Abdool Karim, BMJ 1997 314 7085 940 941 9099118 (Pubitemid 27140219)
26. Removal of user fees at Primary Health Care facilities in Zambia. A study of the effects on utilisation and quality of care. F Masiye BM Chitah P Chanda F Simeo, 57. EDPS. Harare: EQUINET, UCT HEU 2008 20
27. L'impact du décret présidentiel pour la gratuité de soins sur la qualité des services de santé au Burundi. C Batungwanayo L Reyntjens, Bujumbura: Ministère de la santé publique. Direction générale de la santé 2006
28. Public Service Provision, User Fees and Political Turmoil. M Fafchamps B Minten, Journal of African Economies 2007 13 3 485 518 (Pubitemid 47090646)
29. Une recension des écrits scientifiques sur l'abolition des frais aux usagers dans les services de santé en Afrique. V Ridde F Morestin, Montréal: Université de Montréal. Centre de recherche du CHUM-Département de médecine sociale et préventive 2009 27 http://www.medsp.umontreal.ca/vesa-tc/ressrc.htm
30. Removing user fees for primary care in Africa: the need for careful action. L Gilson D McIntyre, Br Med J 2005 331 762 765 10.1136/bmj.331.7519.762 (Pubitemid 41414947)
31. The impact of abolishing user fees in Africa recent development in six African countries. R Yates, IHEA Congress. Conpenhagen 2007
32. 'We are bitter but we are satisfied': nurses as street-level bureaucrats in South Africa. L Walker L Gilson, Social Science and Medicine 2004 59 6 1251 1261 10.1016/j.socscimed.2003.12.020
33. The impact of free maternal health care in South Africa. H Schneider L Gilson, Reproductive Health Matters 2000 8 55 65 10.1016/S0968-8080(00)90187-3 11424250
34. Poverty and User Fees for Public Health care in low-income Countries: Lessons from Uganda and Cambodia. B Meessen W Van Damme CK Tashobya A Tibouti, The Lancet 2006 368 9554 2253 2257 10.1016/S0140-6736(06)69899-1
35. Learning from Experience: health care financing in low- and middle-income countries. D McIntyre, Geneva: Global Forum for health Research 2007 77 17598077
36. Humanitarian aid for vulnerable populations at risk in the Sahel Region of West Africa. Global plan 2007. DG ECHO, Brussels: Humanitarian Aid Committee. European Commission. Directorate General for Humanitarian Aid- ECHO 2007 25
37. Healthy Development. The World Bank Strategy for Health, Nutrition, and Population Results. World Bank, Washington: World Bank 2007 193
38. Launch of the UK Department for International Development's new health strategy. M Chan, London, United Kingdom: World Health Organization0 2007 http://www.who.int/dg/speeches/2007/050607-DFID/en/index.html
39. Tracking Progress in Maternal, Newborn & Child Survival. The 2008 Report. UNICEF, New York: UNICEF 2008 206
40. Strategy for Improved Nutrition of Children and Women in Developing Countries'. UNICEF, Monograph, June1990 Programme Division, Nutrition Section. New York 1990
41. MB Miles AM Huberman, Qualitative data analysis: an expanded sourcebook Thousand Oaks: Sage Publications 2 1994
42. T Berche, Anthropologie et santé publique en pays dogon Paris: APAD-Karthala 1998
43. V Ridde, quité et mise en oeuvre des politiques de santé au Burkina Faso Paris: L'Harmattan 2007
44. Why Are There Unintended Consequences of Program Action, and What Are the Implications for Doing? JA Morell, Am J Eval 2005 26 4 444 463 10.1177/1098214005281354
45. Gender dimensions of user fees: implications for women's utilization of health care. P Nanda, Reproductive Health Matters 2002 10 20 127 134 10.1016/S0968-8080(02)00083-6 12557649
46. Women bargaining to seek healthcare: norms, domestic practives, and implications in rural Burkina Faso. B Nikièma S Haddad L Potvin, World Development 2008 36 4 608 624 10.1016/j.worlddev.2007.04.019
47. Learning lessons and moving forward: how to reduce financial barriers to obstetric care in low-income contexts. S Witter F Richard V De Brouwere, Reducing financial barriers to obstetric care in low-income countries SHSOP Series: Studies in Health Services Organisation & Policy. ITG Press, Richard F, Witter S, De Brouwere V, 2008 277 303
48. Evaluation of the delivery fee exemption policy in Ghana: Population estimates of changes in delivery service utilization in two regions. S Penfold E Harrison J Bell A Fitzmaurice, Ghana Med J 2007 41 3 100 109 18470327
49. The impact of user fees on health service utilization in low- and middle-income countries: how strong is the evidence? M Lagarde N Palmer, Bull World Health Organ 2008 86 11 839 848 19030689 10.2471/BLT.07.049197
50. Paying the price: The cost and consequences of emergency obstetric care in Burkina Faso. KT Storeng RF Baggaley R Ganaba F Ouattara MS Akoum V Filippi, Soc Sci Med 2008 66 3 545 557 10.1016/j.socscimed.2007.10.001 18061325
51. Start-stop funding, its causes and consequences: a case study of the delivery exemptions policy in Ghana. S Witter S Adjei, Int J Health Plann Manage 2007 22 2 133 143 10.1002/hpm.867 17623355
52. Revue des politiques d'exemption/subvention du paiement au Burkina Faso. La stratégie de subvention des soins obstétricaux et néonataux d'urgence. V Ridde A Bicaba, Université de Montréal. SERSAP. Institut de médecine tropicale d'Anvers. UNICEF 2009 47
53. Y Jaffré J-P Olivier de Sardan Eds, Une médecine inhospitalière. Les difficiles relations entre soignants et soignés dans cinq capitales d'Afrique de l'Ouest Paris: APAD, Karthala ( Hommes et sociétés ) 2003
54. Midwives in Niger: an uncomfortable position between social behaviours and health care constraints. Y Jaffré A Prual, Social Science and Medicine 1994 38 8 1069 1073 10.1016/0277-9536(94)90224-0
55. The weakest link: competence and prestige as constraints to referral by isolated nurses in rural Niger. P Bossyns W Van Lerberghe, Hum Resour Health 2004 2 1 1 15059284 10.1186/1478-4491-2-1
56. Analyse rétrospective de la crise alimentaire au Niger en 2005. J-P Olivier de Sardan, Paris: Agence Française de Développement. Département de recherche. Document de travail 45. Aot 2007 2007 50
57. Working practices and incomes of health workers: evidence from an evaluation of a delivery fee exemption scheme in Ghana. S Witter A Kusi M Aikins, Hum Resour Health 2007 5 2 17241454 10.1186/1478-4491-5-2
58. Human resources and the quality of emergency obstetric care in developing countries: a systematic review of the literature. M Dogba P Fournier, Hum Resour Health 2009 7 7 19200353 10.1186/1478-4491-7-7
59. Making public health programs last: conceptualizing sustainability. P Pluye L Potvin JL Denis, Eval Program Plann 2004 27 2 121 133 10.1016/j.evalprogplan.2004.01.001
60. Evaluer la pérennité des programmes de santé publique: un outil et son application en Hati. V Ridde P Pluye L Queuille, Revue d'Epidémiologie et de Santé Publique 2006 54 5 421 431 10.1016/S0398-7620(06)76740-2 (Pubitemid 44832114)
61. Plan de développement sanitaire 2005 2009. MSP, Niamey: MSP 2005 224
62. Trust and the development of health care as a social institution. L Gilson, Soc Sci Med 2003 56 7 1453 1468 10.1016/S0277-9536(02)00142-9 12614697
63. La corruption quotidienne en Afrique de l'Ouest. G Blundo J-P Olivier de Sardan, Politique Africaine 2001 83 8 36