| |  Online-Ressource |
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| Verfasst von: | Nguyen, Hoa Thi [VerfasserIn]  |
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| | Torbica, Aleksandra [VerfasserIn] |
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| | Brenner, Stephan [VerfasserIn] |
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| | Kiendrébéogo, Joël [VerfasserIn] |
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| | Tapsoba, Ludovic [VerfasserIn] |
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| | Ridde, Valéry [VerfasserIn] |
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| | De Allegri, Manuela [VerfasserIn] |
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| Titel: | Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso |
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| Titelzusatz: | evidence from a cost-effectiveness analysis |
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| Verf.angabe: | Hoa Thi Nguyen, Aleksandra Torbica, Stephan Brenner, Joël Arthur Kiendrébéogo, Ludovic Tapsoba, Valéry Ridde, Manuela De Allegri |
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| E-Jahr: | 2020 |
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| Jahr: | 17 January 2020 |
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| Umfang: | 9 S. |
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| Teil: | volume:23 |
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| | year:2020 |
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| | number:3 |
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| | pages:300-308 |
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| | extent:9 |
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| Fussnoten: | Gesehen am 30.04.2020 |
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| Titel Quelle: | Enthalten in: Value in health |
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| Ort Quelle: | Amsterdam [u.a.] : Elsevier, 1998 |
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| Jahr Quelle: | 2020 |
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| Band/Heft Quelle: | 23(2020), 3, Seite 300-308 |
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| ISSN Quelle: | 1524-4733 |
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| Abstract: | Objectives - The reduction and removal of user fees for essential care services have recently become a key instrument to advance universal health coverage in sub-Saharan Africa, but no evidence exists on its cost-effectiveness. We aimed to address this gap by estimating the cost-effectiveness of 2 user-fee exemption interventions in Burkina Faso 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 Sahel region. - Methods - We built a single decision tree to evaluate the cost-effectiveness of the 2 study interventions and the baseline. The decision tree was populated with an own impact evaluation and the best available epidemiological evidence. - Results - Relative 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. Relative 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. - Conclusions - Our study suggests that it is worthwhile for Burkina Faso to move from an 80% reduction to the complete removal of user fees for delivery care. Local analyses should be done to identify whether it is worthwhile to implement user-fee exemptions in other sub-Saharan African countries. |
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| DOI: | doi:10.1016/j.jval.2019.10.007 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/j.jval.2019.10.007 |
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| | Volltext: http://www.sciencedirect.com/science/article/pii/S1098301519351794 |
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| | DOI: https://doi.org/10.1016/j.jval.2019.10.007 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Burkina Faso |
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| | economic evaluation |
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| | facility-based delivery |
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| | maternal care |
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| | user-fee exemptions |
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| K10plus-PPN: | 1696965306 |
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| Verknüpfungen: | → Zeitschrift |
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Economic evaluation of user-fee exemption policies for maternal healthcare in Burkina Faso / Nguyen, Hoa Thi [VerfasserIn]; 17 January 2020 (Online-Ressource)
