@book{fdi:010080129,
  title = {{E}stimating the distributional incidence of healthcare spending on maternal health services in {S}ub-{S}aharan {A}frica : benefit incidence analysis in {B}urkina {F}aso, {M}alawi, and {Z}ambia},
  author = {{R}udasingwa, {M}. and {Y}eboah, {E}. and {D}e {A}llegri, {M}. and {B}onnet, {E}mmanuel and {R}idde, {V}al{\'e}ry and {S}om{\'e}, {P}.{A}. and {M}uula, {A}. and {C}hitah, {B}.{M}. and {M}phuka, {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}mproving access to maternal health services is a critical policy concern, especially in {S}ub- {S}aharan {A}frica ({SSA}) where maternal mortality rates remain very high, particularly so among the poorest segments of society. {H}ence, following the global call to reduce maternal mortality embedded in the {S}ustainable {D}evelopment {G}oal 3, multiple interventions have been designed and implemented across {SSA} countries to foster progress towards {U}niversal {H}ealth {C}overage ({UHC}) of maternal health services, including skilled birth attendance.  {W}hile evidence on the impact of these interventions on access to service use is increasing, evidence on the distributional incidence of the financial investment they entail is still limited. {T}his paper aims to close this gap in knowledge by conducting a quasi-longitudinal benefit incidence analysis to assess equality of both public and overall health  spending on maternal health services in three {S}ub-{S}aharan {A}frican countries: {B}urkina {F}aso, {M}alawi and {Z}ambia. {T}he study relied on healthcare utilization data derived from different nationallevel household surveys (including {D}emographic and {H}ealth {S}urvey, {P}erformance based {F}inancing {S}urvey, and {Z}ambia {H}ousehold {H}ealth and {E}xpenditure {S}urvey) and health expenditure data derived from {N}ational {H}ealth {A}ccounts. {T}he findings demonstrate increasing equality in health spending over time, but also  considerable persistent heterogeneity in distributional incidence across provinces/regions/districts. {T}hese findings suggest that the implementation of {UHC}-specific reforms targeting maternal care was effective in increasing equality in health spending, meaning that more financial resources reached the poorest segments of society, but was not  yet sufficient to remove differences across provinces/regions/districts. {F}urther research is needed to investigate sources of regional disparities and identify strategies to overcome them.},
  keywords = {{BURKINA} {FASO} ; {MALAWI} ; {ZAMBIE}},
  address = {{P}aris},
  publisher = {{AFD}},
  series = {{R}esearch {P}apers - {AFD}},
  pages = {63},
  year = {2020},
  ISSN = {2492-2846},
  URL = {https://www.documentation.ird.fr/hor/fdi:010080129},
}