Performance-based financing (PBF) programs are increasingly implemented in low and middle-income countries to improve health service quality utilization. In April 2011, a PBF pilot program was launched Boulsa, Leo Titao districts Burkina Faso with the objective of increasing provision maternal services. We evaluate impact this using facility-level administrative data from national management information system (HMIS). Primary outcomes were number antenatal care visits, proportion visits that...

Despite rapid and tangible progress in vaccine coverage premature mortality rates registered sub-Saharan Africa, inequities to access remain firmly entrenched, large pockets of low vaccination persist, often varies considerably across regions, districts, health facilities' areas responsibility. This paper focuses on system-related factors that can explain disparities immunization among districts Burkina Faso.A multiple-case study was conducted six representative different trends overall...

The greatest challenge facing expanded programs on immunization in general, and Burkina Faso particular, lies their capacity to achieve sustain levels of coverage that will ensure effective protection children. This article aims demonstrate full children, which is the primary indicator for monitoring national programs, sufficient neither evaluate performance adequately, nor help identify broad strategies must be implemented improve performance. Other dimensions performance, notably adherence...

Introduction: Obstetric fistula (OF) remains a major public health problem in low-income countries. This study aimed to investigate the sociodemographic, clinical, and therapeutic characteristics of obstetric urogenital fistulas regional teaching hospital Burkina Faso.

To compare the sociodemographic, clinical, and therapeutic characteristics of obstetric urogenital fistulas (OF) iatrogenic (IF) treated in seven centers Burkina Faso. Material Methods. We carried out a cross-sectional study over years' period (January 1, 2010 to December 31, 2016). considered as all (UGF) occurred after elective caesarean section, gynecologic surgery (hysterectomy, myomectomy, prolapse repair), or induced abortion. UGF following vaginal delivery prolonged labor without...

Adult Granulosa Cell Tumor of the Testis (AGCTT) is a rare sex-cord stromal tumor. About 73 cases have been previously reported in literature. We report case AGCTT 64 years old male, located left testis. performed radical inguinal orchiectomy. A sagittal section orchiectomy specimen showed solid yellowish-white mass measuring 1cm long axis. On microscopic examination, we noted well-limited tumor proliferation architecture. The was made up cells with scant cytoplasm and incised oval nuclei...

Introduction: Urological emergencies are less frequent compared to other emergencies, particularly traumatological and digestive emergencies. The objective of this study was determine the epidemiological profile urological in a regional hospital Burkina Faso. Patients methods: This cross-sectional admitted Surgical Department Ouahigouya Regional University Hospital Faso over period 41 months. covered 41-month from March 2015 July 2018. Ethical clearance taken institutional ethics committee....

Introduction: Cystostomy allows under certain circumstances deriving the urine. This is most performed surgery in uro-andrological emergencies. Complications can occur. We aim to analyze indications, technical aspects and complications of suprapubic cystostomies urological emergency unit at CHU-YO. Patients Methods: Between October 2013 May 2014 we conducted a prospective study all patients who underwent cystostomy. Results: 86 cases cystostomy were noted or 77.5% surgical procedures...

Previous studies have identified predictors for residual urinary incontinence after successful closure of fistula. However, these findings remain uncertain because the vary from one study to another. The present aimed examine risk stress vesico-vaginal fistula (VVF).

Foreign bodies of the bladder are rares. The presence a foreign body in is often anecdotic. We report case acute generalized peritonitis due to migration ballpoint pen from great peritoneal cavity 17-year-old man. He was admitted for syndrome after introducing into urethra masturbation purposes. has no psychiatric history. Exploration had found an agglutination small bowel loops around pen. about 13.5 cm long and transfixing intestine. noted 20 ileal necrosis 30 ileocecal junction. An exit...

Bone metastases from prostate cancer are very common. They usually located on the axial skeleton. However, cranial bone especially to parietal rare. We report a case of metastatic presenting with left metastasis in patient no urological symptoms or signs. should consider any man above 60 years unusual lesions.

Background: In general, sexuality is a taboo subject. It more so in elderly people, as it believed that they do not complain about sexual disorder. Objective: To analyse the activity of men Ouagadougou, Burkina Faso. Methods: This descriptive cross-sectional study on aged at least 60 years old. The was carried out Faso, from 1st June to 31st August 2014. All consenting males who were and above time included. Results: We contacted 652 men, but only 200 responded i.e. response rate 30.67%. age...

Abstract Background Spermatic cord torsion (SCT) is a surgical emergency. Any delay in diagnosis or treatment may compromise the vital and functional prognosis of testicle. The orchiectomy rate remains very high literature; it can even reach 50 % certain series. Several factors have been reported literature as being significantly correlated with risk orchiectomy: duration symptoms, number turns, younger ages, etc. objective this study has to analyse predictive adult SCT our context. Results...

Objective: To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso. Patients Methods: We performed a retrospective, descriptive, multicentric study based on the medical records women treated for VUF from January 2010 to December 2016. Results: accounted 7.2% (36/497) urogenital managed during period. The median age 36 patients was 35 years (interquartile range = 27 37.5 years) with values ranging 16 64 old. Among VUF, obstetric fistula 26 cases (26/36)...

Objective: To describe diagnostic and therapeutic outcomes of infected vaginal hydrocele.Material Methods: This is a retrospective descriptive study over period two years from June 2013 to May 2015 at the urological emergency department Yalgado Ouédraogo University Hospital (CHU-YO). Results: We collected seven cases during study. The average age patients was 35 years. Two (2/7) were urban five rural areas. Five (5/7) married unmarried. Six (6/7) farmers one (1/7) civil servent. Clinical...

Introduction: Self-mutilation of the external genitalia is rare. It occurs most often on a psychotic ground. Case Report: Mr. P.O. 25-year-old, dress maker, admitted to urological emergency for self-section penile. The patient had cut his penile with razor blade and amputated distal extremity been thrown in water closet. was 19 hours after act self-harm. Clinical examination found stable hemodynamic status, section at its root. Psychiatrically schizophrenia evolving 08 months diagnosed. An...

Introduction: Ballistic traumas of the external genitalia are rare especially in civil practice. Emergency surgical exploration is rule. Case Report: Mr. F.Y., 29 years old, a security agent, admitted to Urological Unit Yalgado Ouédraogo University Hospital Ouagadougou for trauma penile and left purse by firearm. The clinical examination revealed good hemodynamic status, bladder distension. A suprapubic catheterization was performed. We noted transfixing bleeding wound on penile, which...

Abstract Background : Ischemic priapism is a surgical emergency that requires rapid management to maintain penile functional prognosis. Penile gangrene an unusual complication of ischemic priapism. Objective To present unique case progressing in patient with tight phimosis. The aim was discuss our therapeutic approach and review the literature. Case summary A 38-year-old male presented current episode first. patient’s medical history includes hypertension stage 4 chronic kidney disease....

Introduction/Mission: In Burkina Faso, tetanus remains a public health problem. The aim of the study was to describe epidemiological, clinical and evolutionary profile at Yalgado University Hospital Center in Ouagadougou. Patients methods: We conducted descriptive cross-sectional cases admitted department infectious diseases from January 2000 June 2014. data were collected records hospitalized patients. Results: frequency hospital 2.6% average admission 10.2 per year. Of 92 reported, mean...

Introduction: Gangrene of extern genitary organs is a rapidly progressive necrotizing fasciitis the perineum and external genitalia that results from polymicrobial infection. Mortality remains high despite advances in resuscitation. We report experience surgery department Regional University Hospital Center (CHUR) Ouahigouya order to describe epidemiological profile therapeutic aspects GOGE. Patients methods: carried out descriptive analytical retrospective study collecting 41 cases...