Effect of a free healthcare policy on health services utilisation for non-malarial febrile illness by children under five years in Burkina Faso: an interrupted time series analysis.

Tropical Medicine & International Health : TM & IH
D SiaValéry Ridde

Abstract

To assess the effect of a free healthcare policy for children under five years old implemented in Burkina Faso since April 2016, on the use of health care of non-malarial febrile illnesses (NMFI). To assess the immediate and long-term effect of the free healthcare policy in place, we conducted an interrupted time series analysis of routinely collected data on febrile illnesses from three urban primary health centres of Ouagadougou between 1 January 2015 and 31 December 2016. Of the 39 046 febrile cases reported in the study period, 17 017 NMFI were included in the study. Compared to the period before the intervention, we observed an immediate, non-statistically significant increase of 7% in the number of NMFI (IRR = 1.07; 95% CI = 0.75, 1.51). Compared to the trend that would have been expected in absence of the intervention, the results showed a small but sustained increase of 6% in the trend of monthly number of NMFI during the intervention period (IRR = 1.06; 95%CI = 1.01, 1.12). Our study highlighted an increase in the uptake of healthcare services, specifically for NMFI by children under five years of age, after the implementation of a free care policy. This analysis contributes to informing decision makers on the need to ...Continue Reading

References

Nov 24, 2004·Lancet·Mark AmexoImelda Bates
Jul 18, 2008·Tropical Medicine & International Health : TM & IH·Clare I R ChandlerChristopher J M Whitty
Jun 15, 2010·Social Science & Medicine·Felix MasiyeDiane McIntyre
Aug 21, 2010·American Journal of Public Health·Fabienne RichardVincent de Brouwere
Nov 2, 2011·Health Policy and Planning·Valéry RiddeGhislaine Conombo
Nov 19, 2011·Journal of Health Services Research & Policy·Mylene LagardeNatasha Palmer
May 1, 2012·Transactions of the Royal Society of Tropical Medicine and Hygiene·Cho Naing, Ani Izzuani Binti Mohd Kassim
Jun 14, 2013·International Journal of Epidemiology·Krishnan BhaskaranBen Armstrong
Jun 19, 2013·Journal of Epidemiology and Community Health·V RiddeR Heinmüller
Jul 23, 2013·PLoS Neglected Tropical Diseases·John A CrumpJohn A Bartlett
Feb 28, 2014·The New England Journal of Medicine·Valérie D'AcremontBlaise Genton
Mar 13, 2014·BMC Health Services Research·Aline PhilibertPierre Fournier
Jun 11, 2015·BMJ : British Medical Journal·Evangelos KontopantelisDavid Reeves
Jun 27, 2015·Infection Ecology & Epidemiology·Carl-Johan Neiderud
Nov 13, 2015·BMC Health Services Research·Aïssa Diarra, Abdoulaye Ousseini
Nov 13, 2015·BMC Health Services Research·Jean-Pierre Olivier de Sardan, Valéry Ridde
Apr 6, 2016·Infectious Diseases of Poverty·Valéry RiddeBeatriz Parra
Apr 10, 2016·Journal of the Pediatric Infectious Diseases Society·Pui-Ying Iroh TamGregory Storch
Nov 20, 2016·BMC Infectious Diseases·Justin Stoler, Gordon A Awandare
Apr 20, 2017·Implementation Science : IS·Lama Bou-KarroumElie A Akl
May 20, 2017·BMC Public Health·Matthew R Boyce, Wendy P O'Meara
Dec 5, 2017·Social Science & Medicine·Oumar Mallé Samb, Valery Ridde
Dec 21, 2017·Emerging Infectious Diseases·Zékiba TarnagdaDavid J Muscatello
Mar 7, 2018·Transactions of the Royal Society of Tropical Medicine and Hygiene·C BottgerV Ridde
Sep 4, 2018·Infectious Diseases of Poverty·Marcus EderCelina Maria Turchi Martelli

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.