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.

Autor: Sia D; University of Québec in Outaouais, Saint-Jérôme, QC, Canada., Dondbzanga BDG; Ministry of Health of Burkina Faso, Ouagadougou, Burkina Faso., Carabali M; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada., Bonnet E; IRD (French Institute for Research on Sustainable Development), UMI Résiliences, Bondy, France., Enok Bonong PR; Department of Médecine Préventive, University of Montréal, Montreal, Canada., Ridde V; IRD (French Institute for Research on Sustainable Development), UMI Résiliences, Bondy, France.
Jazyk: angličtina
Zdroj: Tropical medicine & international health : TM & IH [Trop Med Int Health] 2020 Oct; Vol. 25 (10), pp. 1226-1234. Date of Electronic Publication: 2020 Aug 05.
DOI: 10.1111/tmi.13468
Abstrakt: Objective: 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).
Methods: 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.
Results: 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).
Conclusion: 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 strengthen the capacities of healthcare centres and to anticipate the challenges of the sustainability of this policy.
(© 2020 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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