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Table 2 Comparative review of the interventions studied

From: Free versus subsidised healthcare: options for fee exemptions, access to care for vulnerable groups and effects on the health system in Burkina Faso

 

Form of exemption applied

Government budget commitment

Planning and implementation

Tuberculosis

Free care (except diagnostic tests)

Available budget (Ministry of Health)

- Existence of official texts - Information dissemination via the media and by associations - Institutional communication service

Antiretroviral drugs (ARV) for children

Free ARV without biological follow-up examinations and supportive drugs (varying conditions from one organisation to the next)

No official budget commitment

- No official texts - Limited information dissemination (healthcare centres and associations)

ARV for adults

Free ARV without biological follow-up examinations and supportive drugs (varying conditions from one organisation to the next)

No official budget commitment apart from outside grants (Global Fund)

- Official declaration in late 2009 - Good information dissemination (healthcare centres and associations, media)

Artemisinin-based combination therapies

Subsidised at rates varying by age (2–11 months, 1–5 years, 6–13 years, 14+ years)

Fully funded by Global Fund enabling provision of free care

- Service launched straightaway without prior information (for providers or users) - Application effective as of April 2009 - No official texts

Insecticide-treated bed nets (pregnant women and newborns)

Freely available (distributed to women at pre- and postnatal consultations)

Outside funding (Global Fund) as pilot experiment prior to scale-up

- Unequal conditions for information dissemination; limited to women attending postnatal care services

Insecticide-treated bed nets (2010 national distribution campaign)

Freely available (quota for all households counted)

Fully funded by Global Fund (Programme d'appui au développement sanitaire and Plan Burkina)

- Contractual obligations (Global Fund funding requests) - Communication campaign in the public media (radio, TV, print media) - Existence of a timetable for directives and conditions for implementation but targets not met