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Innovative approaches to reducing financial barriers to obstetric care in low-income countries

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  • Richard, F.
  • Witter, S.
  • De Brouwere, V.

Abstract

Lack of access to quality care is the main obstacle to reducing maternal mortality in low-income countries, in many settings, women must pay out-of-pocket fees, resulting in delays, some of them fatal, and catastrophic expenditure that push households into poverty. Various innovative approaches have targeted the poor or exempted specific services, such as cesarean deliveries. We analyzed 8 case studies to better understand current experiments in reducing financial barriers to maternal care. Although service utilization increased in most of the settings, concerns remain about quality of care, equity between rich and poor patients and between urban and rural residents, and financial sustainability to support these new strategies.

Suggested Citation

  • Richard, F. & Witter, S. & De Brouwere, V., 2010. "Innovative approaches to reducing financial barriers to obstetric care in low-income countries," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1845-1852.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.179689_3
    DOI: 10.2105/AJPH.2009.179689
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    Cited by:

    1. Kristi Sidney & Kayleigh Ryan & Vishal Diwan & Ayesha De Costa, 2014. "Utilization of a State Run Public Private Emergency Transportation Service Exclusively for Childbirth: The Janani (Maternal) Express Program in Madhya Pradesh, India," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-9, May.
    2. Ridde, Valéry & Kouanda, Seni & Yameogo, Maurice & Kadio, Kadidiatou & Bado, Aristide, 2013. "Why do women pay more than they should? A mixed methods study of the implementation gap in a policy to subsidize the costs of deliveries in Burkina Faso," Evaluation and Program Planning, Elsevier, vol. 36(1), pages 145-152.
    3. Marion Ravit & Andrainolo Ravalihasy & Martine Audibert & Valery Ridde & Emmanuel Bonnet & Bertille Raffalli & Flore-Apolline Roy & Anais N’landu & Alexandre Dumont, 2020. "The impact of the obstetrical risk insurance scheme in Mauritania on maternal healthcare utilization: a propensity score matching analysis," Post-Print hal-02509190, HAL.
    4. Kankeu, Hyacinthe Tchewonpi & Ventelou, Bruno, 2016. "Socioeconomic inequalities in informal payments for health care: An assessment of the ‘Robin Hood’ hypothesis in 33 African countries," Social Science & Medicine, Elsevier, vol. 151(C), pages 173-186.
    5. Valéry Ridde & Seni Kouanda & Aristide Bado & Nicole Bado & Slim Haddad, 2012. "Reducing the Medical Cost of Deliveries in Burkina Faso Is Good for Everyone, Including the Poor," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-8, March.

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