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Local initiatives to access emergency obstetric and neonatal care in Burkina Faso
- Source :
- International Journal of Gynecology & Obstetrics. 135:S27-S32
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Objective To describe the various local initiatives to access emergency obstetric and neonatal care in Burkina Faso. Methods An existing framework was used to review the three processes for local initiatives: emergence, formulation, and implementation. Multiple case studies were conducted, followed by literature review and semi-structured interviews with key informants. Results Sixteen districts had implemented local initiatives, including cost sharing, free care for women and children, and free care for delivery and cesareans. Most districts (n = 10) had implemented the cost-sharing intervention. These initiatives were initiated by local actors as well as nongovernmental organizations. The profile of those involved led to different ways of handling the emergence and formulation processes. At implementation, these initiatives faced many issues including late payment of contributions, low involvement of local governments, and equity in participation. Conclusion There are some issues in the implementation and sustainability of the local initiatives. Although many initiatives exist, these are unable to fully address the financial barriers to care. However, these initiatives highlight context-based financial barriers that must be taken into account to accelerate universal access to health care.
- Subjects :
- Program evaluation
Emergency Medical Services
Economic growth
Maternal-Child Health Services
050204 development studies
Universal design
media_common.quotation_subject
Context (language use)
Health Services Accessibility
03 medical and health sciences
0302 clinical medicine
Pregnancy
Burkina Faso
0502 economics and business
Health care
Humans
Medicine
030212 general & internal medicine
Maternal Welfare
Health policy
Quality Indicators, Health Care
media_common
business.industry
05 social sciences
Infant Welfare
Infant, Newborn
Equity (finance)
Obstetrics and Gynecology
General Medicine
Delivery, Obstetric
Payment
Pregnancy Complications
Cross-Sectional Studies
Cost sharing
Female
Emergency Service, Hospital
business
Subjects
Details
- ISSN :
- 00207292
- Volume :
- 135
- Database :
- OpenAIRE
- Journal :
- International Journal of Gynecology & Obstetrics
- Accession number :
- edsair.doi.dedup.....b57a09a60859cd340a41563af690498b