Fee exemption policies for maternal health services. A Review of 11 African countries Benin, Burkina Faso, Burundi, Ghana, Mali, Morocco, Niger, Nigeria, Kenya, Senegal, Sierra Leone Fabienne Richard, ITM Antwerp & Matthieu Antony, CERDI Clermont-Ferrand. Purpose of the review.
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A Review of 11 African countries
Benin, Burkina Faso, Burundi, Ghana, Mali, Morocco, Niger, Nigeria, Kenya, Senegal, Sierra Leone
Fabienne Richard, ITM Antwerp & Matthieu Antony, CERDI Clermont-Ferrand
Exemption policy coverage
Couverture de la politique d’exemption
Compare the funding modalities of these targeted policies
Child under 5, Delivery, C-.Section
Kenya (according to income)
Sierra Leone (+ breastfeeding women)Who is covered?
Nigeria: some regions only
Senegal: Dakar not covered
Sierra LeoneIn what area of the country?
* except at tertiary level hospitals
Benin Burkina Faso
Covered by another exemption or subsidy policy
DC = Directs obstetric Complications
Ect.P = Ectopic Pregnancy
* Emergency Medical Services (EMS) rural in Morocco in isolated areas
Most countries also have a national policy to cover the indigent, but they are not always implemented in practice.
* Ghana has exemption for Children under 18 enrolling onto the NHIS.
Pregnant womenUnder fiveElderly…
C-section & DeliveriesTB, Malaria, HIVFamily Planning
Hospitals, 1st, 2nd, 3rd level?