User fee exemptions and excessive household spending for normal delivery in Burkina Faso: the need for careful implementation

Table 1 Districts characteristics (source: Plans d’Action 2010 des Districts Sanitaires de la Région du Sahel)

Characteristics	District
Characteristics	Sebba	Dori	Djibo
Government intervention (partial exemption In 2007)	Yes	Yes	Yes
NGO HELP intervention (total exemption In 2008)	Yes	Yes	No
Official cost of normal delivery to woman*	0 FCFA	0 FCFA	900 FCFA
Total population (2010)	179 819	295 027	389 839
Surface (km2)	6 591	6 920	12 273
Population below the poverty line (%) (2003)	52%	44.6%	37,2%
Main religion represented	Islam	Islam	Islam
Main ethnicity represented	Peulh	Peulh	Peulh
Facility-based delivery (%) (2008)**	47.2%	34.8%	41.0%
Facility-based delivery (%) (2009)**	77.8%	52.6%	52.4%
Facility-based delivery (%) (2010)**	91.2%	59.9%	51.2%
Facility-based delivery (%) (2011)**	96.6%	70,0%	55,0%
Health infrastructure (2010)	1 district hospital 11 CSPS	1 regional hospital 18 CSPS 1 military clinic	1 district hospital 30 CSPS 1 military clinic 3 private health facilities

(*) The official cost of delivery corresponds to « acts, medicines and consumables, and observation » (Ministère de la santé, 2006a).
(**) Annuaire statistique 2008, 2009, 2010, 2011 Ministère de la santé - Secrétariat général, Direction générale de l’information et des statistiques sanitaires.
NGO= Non government organization.
CSPS= Centre de santé et de protection sociale, i.e. “first line health centre”.
F CFA= Franc de la Communauté Financière Africaine.
« facility-based delivery » refers to facility-based childbirths assisted by professionals. According to the Annuaire Statistique where the indicator comes from, it is called in French: Accouchements assistés par du personnel de santé.

ISSN: 1472-6963