Impact of the free healthcare policies in Burkina Faso: underscoring important nuances.

IF 2.9 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health policy and planning Pub Date : 2025-05-09 DOI:10.1093/heapol/czaf017

Thomas Druetz, Patrick Ilboudo, Marie-Jeanne Offosse, Federica Fregonese, Abel Bicaba

{"title":"Impact of the free healthcare policies in Burkina Faso: underscoring important nuances.","authors":"Thomas Druetz, Patrick Ilboudo, Marie-Jeanne Offosse, Federica Fregonese, Abel Bicaba","doi":"10.1093/heapol/czaf017","DOIUrl":null,"url":null,"abstract":"<p><p>The article recently published by Aye et al. (2024) in Health Policy and Planning is a major contribution to understanding the medium-term (5 years) effects of the free healthcare policy introduced in 2016 in Burkina Faso. The study makes rigorous use of interrupted time series with a nonequivalent control group and presents a wealth of information on the methodology used. Remarkably, numerous sensitivity analyses were conducted to strengthen the credibility of the results and limit the risk of bias. Three salient conclusions are presented: (I) free healthcare had no effect on the proportion of pregnant women who gave birth in a health center, either immediately or after 5 years; (II) free healthcare led to an immediate and significant increase in the rate of consultations for children <5 years of age; and (III) after this immediate increase, free healthcare led to a gradual decrease in the rate of consultations for children <5 years in the medium term. We believe it is essential to highlight some important nuances regarding these conclusions and highlight some methodological issues.</p>","PeriodicalId":12926,"journal":{"name":"Health policy and planning","volume":" ","pages":"585-587"},"PeriodicalIF":2.9000,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health policy and planning","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/heapol/czaf017","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

The article recently published by Aye et al. (2024) in Health Policy and Planning is a major contribution to understanding the medium-term (5 years) effects of the free healthcare policy introduced in 2016 in Burkina Faso. The study makes rigorous use of interrupted time series with a nonequivalent control group and presents a wealth of information on the methodology used. Remarkably, numerous sensitivity analyses were conducted to strengthen the credibility of the results and limit the risk of bias. Three salient conclusions are presented: (I) free healthcare had no effect on the proportion of pregnant women who gave birth in a health center, either immediately or after 5 years; (II) free healthcare led to an immediate and significant increase in the rate of consultations for children <5 years of age; and (III) after this immediate increase, free healthcare led to a gradual decrease in the rate of consultations for children <5 years in the medium term. We believe it is essential to highlight some important nuances regarding these conclusions and highlight some methodological issues.

查看原文本刊更多论文

布基纳法索免费保健政策的影响：强调重要的细微差别。

TT Aye等人（2024）最近发表在《卫生政策和规划》上的文章对理解布基纳法索2016年推出的免费医疗政策的中期（5年）影响作出了重大贡献。该研究严格使用了具有非等效对照组的中断时间序列，并提供了有关所使用方法的丰富信息。值得注意的是，为了加强结果的可信度和限制偏倚风险，进行了大量的敏感性分析。本文得出了三个显著结论：(1)免费医疗对孕妇在保健中心分娩的比例没有影响，无论是立即分娩还是5年后分娩；(2)免费医疗使儿童就诊率立即显著提高

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health policy and planning 医学-卫生保健

CiteScore

6.00

自引率

3.10%

发文量

审稿时长

6 months

期刊介绍： Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.