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Table 1 Outcome measures and anticipated effects

From: Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis

Outcome

Outcome measure

Expected change in the intervention district

Expected change in the comparison district

For pregnant women

ANC 1 coverage

Number of ANC1 women seen/Number of expected pregnancies

Increase

Remain same

ANC 5+ coverage

Number of ANC5+ women seen/Number of expected pregnancies

Increase

Remain same

Women seen in first trimester

Number of women seen in 1st trimester/number of expected pregnancies

Increase

Remain same

Delivery rate

Number of women who delivered in a health facility/number of expected pregnancies

Increase

Remain same

Caesarean section rates*

Number of caesarean sections/number of live births

-

-

Women seen in postnatal consultations in the 6th hour

Number of women seen in postnatal consultations/number of live births

Increase

Remain same

Women seen in postnatal consultations on the 6th day

Number of women seen in postnatal consultations/number of live births

Increase

Remain same

Women seen in postnatal consultations in the 6th week

Number of women seen in postnatal consultations/number of live births

Increase

Remain same

Intra-facility maternal mortality ratio (per 100,000 live births)

Number of intra-facility maternal deaths/number of intra-facility live births

Decrease

Remain same

Cases of malaria in pregnancy seen in health facilities

Number of pregnant women seen with malaria seen in health facilities/number of women of childbearing age

Increase

Remain same

For children

New consultations for children under 1 year

Number of new consultations for children < 1 year/total population of children < 1 year

Increase

Remain same

New consultations for children 1–4 years

Number of new consultations for children 1–4 years /total population of children 1–4 years

Increase

Remain same

Intra-facility early neonatal mortality rate (per 1000 live births)

Number of intra-facility deaths of children 0–6 days/number of intra-facility live births

Decrease

Remain same

Cases of uncomplicated malaria in children < 5 years in health facilities

Number of children < 5 years with uncomplicated malaria in health facilities/total population of children < 5 years

Increase

Remain same

Cases of severe malaria in children < 5 years in health facilities

Number of children < 5 years with severe malaria in health facilities/total population of children < 5 years

Increase

Remain same

  1. *Difficult to predict expected change