User fees removal and community-based management of undernutrition in Burkina Faso
What effects on children’s nutritional status
Bibliographic Data
| ID | 15093030 |
|---|---|
| Authors | David Zombré (0000-0002-7038-4738, Université du Québec à Montréal, corresponding author), Manuela De Allegri (0000-0002-8677-1337, Heidelberg University), Valery Ridde (0000-0001-9299-8266, Inserm), Kate Zinszer (0000-0003-1388-1145, Université du Québec à Montréal) |
| Year | 2021 |
| Volume | 24 |
| Issue | 12 |
| Pages | 3768-3779 |
| Publication date | 2021-08-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980021000732 |
| PMID | 33593454 |
| OpenAlex | W3132106654 |
| Language | EN |
| Citations received | 2 |
| References cited | 54 |
Objective: To examine the effect of an intervention combining user fees removal with community-based management of undernutrition on the nutrition status in children under 5 years of age in Burkina Faso. Design: The study was a non-equivalent control group post-test-only design based on household survey data collected 4 years after the intervention onset in the intervention and comparison districts. Additionally, we used propensity score weighting to achieve balance on covariates between the two districts, followed by logistic multilevel modelling. Setting: Two health districts in the Sahel region. Participants: Totally, 1116 children under 5 years of age residing in 41 intervention communities and 1305 from 51 control communities. Results: When comparing children living in the intervention district to children living in a non-intervention district, we determined no differences in terms of stunting (OR = 1·13; 95 % CI 0·83, 1·54) and wasting (OR = 1·21; 95 % CI 0·90, 1·64), nor in severely wasted (OR = 1·27; 95 % CI 0·79, 2·04) and severely stunted (OR = 0·99; 95 % CI 0·76, 1·26). However, we determined that 3 % of the variance of wasting (95 % CI 1·25, 10·42) and 9·4 % of the variance of stunting (95 % CI 6·45, 13·38) were due to systematic differences between communities of residence. The presence of the intervention in the communities explained 2 % of the community-level variance of stunting and 3 % of the community-level variance of wasting. Conclusions: With the scaling-up of the national free health policy in Africa, we stress the need for rigorous evaluations and the means to measure expected changes in order to better inform health interventions
Environmental health · Intervention (counseling · Logistic regression · Malnutrition · Propensity score matching · Residence · Wasting · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Gerontology
Marginal Structural Models and Causal Inference in Epidemiology
Effects of fully-established Sure Start Local Programmes on 3-year-old children and their families living in England
An Original Stepwise Multilevel Logistic Regression Analysis of Discriminatory Accuracy
Prognostic score–based balance measures can be a useful diagnostic for propensity score methods in comparative effectiveness research
Stunting, Wasting and Underweight in Sub-Saharan Africa
Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity‐score matched samples
Natural Experiments
Health: perception versus observation
Structural equation modeling in medical research
Universal health care and the removal of user fees
Ecologic Studies in Epidemiology
Propensity Score Estimation With Boosted Regression for Evaluating Causal Effects in Observational Studies.
Interventions to address deaths from childhood pneumonia and diarrhoea equitably
The central role of the propensity score in observational studies for causal effects
Physical Status
Health effects of ‘Juntos’, a conditional cash transfer programme in Peru
The W orld H ealth O rganization's global target for reducing childhood stunting by 2025
Determinants of stunting in children under 5 years in Madagascar
Individual and contextual factors associated with childhood stunting in Nigeria
The family as a determinant of stunting in children living in conditions of extreme poverty
Shared environments
A scoping review of the literature on the abolition of user fees in health care services in Africa
Building a middle-range theory of free public healthcare seeking in sub-Saharan Africa
Who benefits from free healthcare? Evidence from a randomized experiment in Ghana
The impact of reducing and eliminating user fees on facility-based delivery
Improving equity by removing healthcare fees for children in Burkina Faso
Individual and collective bodies
Bringing context back into epidemiology
Assessing Asset Indices
Childhood stunting
Contextualising complementary feeding in a broader framework for stunting prevention
The impact of free healthcare on women's capability
Immediate and sustained effects of user fee exemption on healthcare utilization among children under five in Burkina Faso
An Analytical Framework for the Study of Child Survival in Developing Countries
| Citations per year | 0.4 |
|---|---|
| Citation span | 2021 - 2024 (4) |
| Highly cited | No |