No effect of user fee exemption on perceived quality of delivery care in Burkina Faso: a case-control study

by Aline Philibert, Valéry Ridde, Aristide Bado et al.
BMC Health Services Research 2014, 14:120 (11 March 2014)

16 pp. 417 kB:
http://www.biomedcentral.com/content/pdf/1472-6963-14-120.pdf

Although many developing countries have developed user fee exemption policies to move towards universal health coverage as a priority, very few studies have attempted to measure the quality of care. The present paper aims at assessing whether women’s satisfaction with delivery care is maintained with a total fee exemption in Burkina Faso. Contrary to expectations, total fee exemption at the point of service did not seem to have a negative impact on quality of care, and women`s perceptions remained very positive. This paper shows that the policy of completely abolishing user fees with organized implementation is certainly a way for developing countries to engage in universal coverage while maintaining the quality of care.

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