OBJECTIVE: To identify determinants of utilisation for antenatal care (ANC) and skilled attendance at birth after a substantial reduction in user fees. METHODS: The study was conducted in the Nouna Health District in north-western Burkina Faso in early 2009. Data was collected by means of a representative survey on a sample of 435 women who reported a pregnancy in the prior 12 months. Two independent logit models were used to assess the determinants of (a) ANC utilisation (defined as having attended at least 3 visits) and (b) skilled assistance at birth (defined as having delivered in a health facility). RESULTS: 76% of women had attended at least 3 ANC visits and 72% had delivered in a facility. Living within 5 km from a facility was positively associated, while animist religion, some ethnicities, and household wealth were negatively associated with ANC utilisation. Some ethnicities, living within 5 km from a health facility, and having attended at least 3 ANC visits were positively associated with delivering in a facility. CONCLUSIONS: User fee alleviation secured equitable access to care across socio-economic groups, but alone did not ensure that all women benefited from ANC and from skilled attendance at birth. Investments in policies to address barriers beyond financial ones are urgently needed.
OBJECTIVE: To identify determinants of utilisation for antenatal care (ANC) and skilled attendance at birth after a substantial reduction in user fees. METHODS: The study was conducted in the Nouna Health District in north-western Burkina Faso in early 2009. Data was collected by means of a representative survey on a sample of 435 women who reported a pregnancy in the prior 12 months. Two independent logit models were used to assess the determinants of (a) ANC utilisation (defined as having attended at least 3 visits) and (b) skilled assistance at birth (defined as having delivered in a health facility). RESULTS: 76% of women had attended at least 3 ANC visits and 72% had delivered in a facility. Living within 5 km from a facility was positively associated, while animist religion, some ethnicities, and household wealth were negatively associated with ANC utilisation. Some ethnicities, living within 5 km from a health facility, and having attended at least 3 ANC visits were positively associated with delivering in a facility. CONCLUSIONS: User fee alleviation secured equitable access to care across socio-economic groups, but alone did not ensure that all women benefited from ANC and from skilled attendance at birth. Investments in policies to address barriers beyond financial ones are urgently needed.
Authors: Katerini T Storeng; Seydou Drabo; Rasmané Ganaba; Johanne Sundby; Clara Calvert; Véronique Filippi Journal: Bull World Health Organ Date: 2012-03-13 Impact factor: 9.408
Authors: Cheryl A Moyer; Philip B Adongo; Raymond A Aborigo; Abraham Hodgson; Cyril M Engmann; Raymond DeVries Journal: Matern Child Health J Date: 2014-01
Authors: Peter W Gething; Fiifi Amoako Johnson; Faustina Frempong-Ainguah; Philomena Nyarko; Angela Baschieri; Patrick Aboagye; Jane Falkingham; Zoe Matthews; Peter M Atkinson Journal: BMC Public Health Date: 2012-11-16 Impact factor: 3.295
Authors: Yalem Tsegay; Tesfay Gebrehiwot; Isabel Goicolea; Kerstin Edin; Hailemariam Lemma; Miguel San Sebastian Journal: Int J Equity Health Date: 2013-05-14