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Accueil du site → Doctorat → Allemagne → 2021 → Targeted User Fee Exemption for Equitable Access to Primary Healthcare Services for the Ultra-Poor : A multi-method study using the case of Burkina Faso

Universität Heidelberg (2021)

Targeted User Fee Exemption for Equitable Access to Primary Healthcare Services for the Ultra-Poor : A multi-method study using the case of Burkina Faso

Beaugé, Yvonne

Titre : Targeted User Fee Exemption for Equitable Access to Primary Healthcare Services for the Ultra-Poor : A multi-method study using the case of Burkina Faso

Auteur : Beaugé, Yvonne

Université de soutenance : Universität Heidelberg

Grade : Doctor scientiarum humanarum (Dr.sc.hum.) 2021

Conclusions
The study provides evidence that targeted user fee exemptions for the ultra-poor need to be better designed and implemented to effectively increase health service utilisation. Complementing demand-side strategies could guide the ultra-poor in overcoming all barriers to healthcare access. The study further demonstrated that user fee exemptions are yet associated with reduced out-of-pocket expenditure for the ultra-poor, showing the importance of free care for this marginalised population. The ultra-poor people’s elevated risk due to multi-morbidities and severity of illness need to be considered when allocating resources to address existing inequalities better and improve financial risk protection. Last, the study found that providing first-level services for the exempted ultra-poor at the national level is likely to be affordable. To further advance towards leaving no one behind, Burkina Faso could consider piloting a capitation-based system to remunerate primary healthcare providers for providing first-level services to the ultra-poor.

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Page publiée le 2 novembre 2022