Journal article

Free health care for under-fives, expectant and recent mothers? Evaluating the impact of Sierra Leone's free health care initiative

Ijeoma Edoka, Tim Ensor, Barbara McPake, Rogers Amara, Fu-Min Tseng, Joseph Edem-Hotah

Health Economics Review | BMC | Published : 2016


This study evaluates the impact of Sierra Leone's 2010 Free Health Care Initiative (FHCI). It uses two nationally representative surveys to identify the impact of the policy on utilisation of maternal care services by pregnant women and recent mothers as well as the impact on curative health care services and out-of-pocket payments for consultation and prescription in children under the age of 5 years. A Regression Discontinuity Design (RDD) is applied in the case of young children and a before-after estimation approach, adjusted for time trends in the case of expectant and recent mothers. Our results suggest that children affected by the FHCI have a lower probability of incurring any health..

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