@article{fdi:010078897,
  title = {{E}conomic evaluation of user-fee exemption policies for maternal healthcare in {B}urkina {F}aso : evidence from a cost-effectiveness analysis},
  author = {{N}guyen, {H}. {T}. and {T}orbica, {A}. and {B}renner, {S}. and {K}iendrebeogo, {J}. {A}. and {T}apsoba, {L}. and {R}idde, {V}al{\'e}ry and {D}e {A}llegri, {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjectives: {T}he reduction and removal of user fees for essential care services have recently become a key instrument to advance universal health coverage in sub-{S}aharan {A}frica, but no evidence exists on its cost-effectiveness. {W}e aimed to address this gap by estimating the cost-effectiveness of 2 user-fee exemption inte rventions in {B}urkina {F}aso between 2007 and 2015: the national 80% user-fee reduction policy for delivery care services and the user-fee removal pilot (ie, the complete [100%] user-fee removal for delivery care) in the {S}ahel region. {M}ethods: {W}e built a single decision tree to evaluate the cost-effectiveness of the 2 study interventions and the baseline. {T}he decision tree was populated with an own impact evaluation and the best available epidemiological evidence. {R}esults: {R}elative to the baseline, both the national 80% user-fee reduction policy and the user-fee removal pilot are highly cost-effective, with incremental cost-effectiveness ratios of $210.22 and $252.51 per disability-adjusted life-year averted, respectively. {R}elative to the national 80% user-fee reduction policy, the user-fee removal pilot entails an incremental cost-effectiveness ratio of $309.74 per disability-adjusted life-year averted. {C}onclusions: {O}ur study suggests that it is worthwhile for {B}urkina {F}aso to move from an 80% reduction to the complete removal of user fees for delivery care. {L}ocal analyses should be done to identify whether it is worthwhile to implement user-fee exemptions in other sub-{S}aharan {A}frican countries.},
  keywords = {{B}urkina {F}aso ; economic evaluation ; facility-based delivery ; maternal care ; user-fee exemptions ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{V}alue in {H}ealth},
  volume = {23},
  numero = {3},
  pages = {300--308},
  ISSN = {1098-3015},
  year = {2020},
  DOI = {10.1016/j.jval.2019.10.007},
  URL = {https://www.documentation.ird.fr/hor/fdi:010078897},
}