The free caesareans policy in low-income settings: an interrupted time series analysis in Mali (2003-2012).

ABSTRACT:

Introduction

Several countries have instituted fee exemptions for caesareans to reduce maternal and newborn mortality.

Objectives

To evaluate the effect of fee exemptions for caesareans on population caesarean rates taking into account different levels of accessibility.

Methods

The observation period was from January 2003 to May 2012 in one Region and covered 11.7 million person-years. Exemption fees for caesareans were adopted on June 26, 2005. Data were obtained from a registration system implemented in 2003 that tracks all obstetrical emergencies and interventions including caesareans. The pre-intervention period was 30 months and the post-intervention period was 83 months. We used an interrupted time series to evaluate the trend before and after the policy adoptio

SUBMITTER: Fournier P 

PROVIDER: S-EPMC4138145 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature