@article{fdi:010074459,
  title = {{H}ow much does community-based targeting of the ultra-poor in the health sector cost ? : novel evidence from {B}urkina {F}aso},
  author = {{B}eauge, {Y}. and {K}oulidiati, {J}. {L}. and {R}idde, {V}al{\'e}ry and {R}obyn, {P}. {J}. and {D}e {A}llegri, {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}argeting efforts aimed at increasing access to care for the poorest by reducing to a minimum or completely eliminating payments at point of use are increasingly being adopted across low and middle income countries, within the framework of {U}niversal {H}ealth {C}overage policies. {N}o evidence, however, is available on the real cost of designing and implementing these efforts. {O}ur study aimed to fill this gap in knowledge through the systematic assessment of both the financial and economic costs associated with designing and implementing a pro-poor community-based targeting intervention across eight districts in rural {B}urkina {F}aso. {M}ethods: {W}e conducted a partial retrospective economic evaluation (i.e. estimating costs, but not benefits) associated with the abovementioned targeting intervention. {W}e adopted a health system perspective, including all costs incurred by the government and its development partners as well as costs incurred by the community when working as volunteers on behalf of government structures. {T}o trace both financial and economic costs, we combined {A}ctivity-{B}ased {C}osting with {R}esource {C}onsumption {A}ccounting. {T}o this purpose, we consulted and extracted information from all relevant design/implementation documents and conducted additional key informant structured interviews to assess the resource consumption that was not valued in the documents. {R}esults: {F}or the entire community-based targeting intervention, we estimated a financial cost of {USD} 587,510 and an economic cost of {USD} 1,213,447. {T}he difference was driven primarily by the value of the time contributed by the community. {C}ommunities carried the main economic burden. {W}ith a total of 102,609 ultra-poor identified, the financial cost and the economic cost per ultra-poor person were respectively {USD} 5,73 and {USD} 11,83. {C}onclusion: {T}he study is first of its kind to accurately trace the financial and economic costs of a community-based targeting intervention aiming to identify the ultra-poor. {T}he financial costs amounted to {USD} 5,73 and the economic costs to {USD} 11,83 per ultra-poor person identified. {T}he financial costs of almost {USD} 6 represents 21% of the per capita government expenditure on health.},
  keywords = {{C}ommunity-based targeting ; {T}argeting ; {U}ltra-poor ; {P}ro-poor targeting ; {A}ctivity-based costing ; {B}urkina {F}aso ; {C}osts ; {E}conomic evaluation ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{H}ealth {E}conomics {R}eview},
  volume = {8},
  numero = {},
  pages = {art. 19 [11 ]},
  ISSN = {2191-1991},
  year = {2018},
  DOI = {10.1186/s13561-018-0205-7},
  URL = {https://www.documentation.ird.fr/hor/fdi:010074459},
}