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- W152371 abstract "In January 2005, a cost-sharing system was introduced into Secteur 30 health district, an urban district of the city of Ouagadougou, with the aim of improving access to emergency obstetric care for pregnant women in the district. The cost-sharing covers emergency transport and caesarean deliveries. The direct costs are shared between four parties: 1) the management committees of health centres and confessional health facilities, 2) the woman and her family, 3) the local authorities and 4) the health district. These different contributions reduce the family’s share and generate a surplus for treating the poorest inhabitants of the district. Three years after implementation, the results have been measured in terms of service utilisation, quality of care, financial viability and perception of the system by the different parties involved. Data were collected from several sources: routine data from the health information system, individual prescription forms, an Unmet Obstetrical Needs (UON) study and individual interviews with the different parties. The coverage of assisted deliveries in the district rose from 66.2% in 2003 to 86.5% in 2007 and the 1 Gynaecology-Obstetrics Department, Bogodogo district hospital, Ouagadougou, Burkina Faso. Email : ocharlemagne@yahoo.fr (correspondence should be addressed to this author). 2 Quality and Human Resources Unit, Public Health Department, Antwerp, Belgium. 3 ASMADE, Ouagadougou, Burkina Faso. 4 Equilibres et Populations, Paris, France. 5 UMR 912 (INSERM-IRD-U2) Economic and social sciences, health systems, societies, Marseille, France. 6 Institut National d’Administration Sanitaire, Rabat, Morocco." @default.
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- W152371 date "2008-01-01" @default.
- W152371 modified "2023-09-24" @default.
- W152371 title "Cost sharing scheme for emergency obstetric care in Secteur 30 health district, Ouagadougou, Burkina Faso" @default.
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