Review of Control Mechanisms for the User Fee Exemption Policy Gratuité in Burkina Faso

The Strategic Purchasing for Primary Health Care (SP4PHC) project aims to improve how governments purchase primary health care (PHC) services, with a focus on family planning (FP) and maternal, newborn, and child health (MNCH). In Burkina Faso, the project works closely with the government on its user fee exemption scheme, known as the Gratuité policy, which provides a defined package of FP and MNCH services free of charge to pregnant women and children under 5 years old. ThinkWell activities in Burkina Faso include providing technical support to the Technical Secretariat for Universal Health Coverage (ST-CSU) to increase the efficiency and effectiveness of control and verification procedures for Gratuité. The control mechanism of the Gratuité program, instituted to ensure that high-quality services are delivered free of charge, is run by the Ministry of Health (MOH) ST-CSU. A review of the Gratuité program’s control mechanism was conducted by the ST-CSU and ThinkWell. The purpose of this brief is to document the Gratuité control mechanism and capture lessons for its improvement.

Publication Year:

2022

Publisher

SP4PHC

Author:

SPARC
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A message from the partners of the Strategic Purchasing Africa Resource Center (SPARC)

Since 2018, The Strategic Purchasing Africa Resource Center (SPARC) has been a unique and significant force in supporting countries within Sub-Sahara Africa (SSA) in crucial areas of strategic health purchasing (SHP), Healthcare Financing as they make progress towards the realization of Universal Health Coverage (UHC) goals. This initiative, a collaboration between Amref Health Africa and Results for Development (R4D), has made expertise in these areas more accessible and has been instrumental in the progress of the target countries. The initiative was designed to advance policy discussions and actions that strengthen the application of strategic health purchasing to strengthen African health systems and support countries as they address foundational reforms…