@article{fdi:010079624,
  title = {{D}o targeted user fee exemptions reach the ultra-poor and increase their healthcare utilisation ? {A} panel study from {B}urkina {F}aso},
  author = {{B}eaug{\'e}, {Y}. and {D}e {A}llegri, {M}. and {O}u{\'e}draogo, {S}. and {B}onnet, {E}mmanuel and {K}uunibe, {N}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{A} component of the performance-based financing intervention implemented in {B}urkina {F}aso was to provide free access to healthcare via the distribution of user fee exemption cards to previously identified ultra-poor. {T}his study examines the factors that led to the receipt of user fee exemption cards, and the effect of card possession on the utilisation of healthcare services. {M}ethods: {A} panel data set of 1652 randomly selected ultra-poor individuals was used. {L}ogistic regression was applied on the end line data to identify factors associated with the receipt of user fee exemption cards. {R}andom-effects modelling was applied to the panel data to determine the effect of the card possession on healthcare service utilisation among those who reported an illness six months before the surveys. {R}esults: {O}ut of the ultra-poor surveyed in 2017, 75.51% received exemption cards. {B}asic literacy (p = 0.03), living within 5 km from a healthcare centre (p = 0.02) and being resident in {D}i{\'e}bougou or {G}ourcy (p = 0.00) were positively associated with card possession. {C}ard possession did not increase health service utilisation (ß = -0.07; 95% {CI} = -0.45; 0.32; p = 0.73). {C}onclusion: {A} better intervention design and implementation is required. {C}omplementing demand-side strategies could guide the ultra-poor in overcoming all barriers to healthcare access.},
  keywords = {{BURKINA} {FASO} ; {DIEBOUGOU} ; {BATIE} ; {KONGOUSSY} ; {KAYA} ; {OUARGAYE} ; {TENKODOGO} ; {GOURCY} ; {OUAHIGOUYA}},
  booktitle = {{H}ealth care access among underserved groups},
  journal = {{I}nternational {J}ournal of {E}nvironmental {R}esearch and {P}ublic {H}ealth},
  volume = {17},
  numero = {18},
  pages = {6543 [21 ]},
  ISSN = {1660-4601},
  year = {2020},
  DOI = {10.3390/ijerph17186543},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079624},
}