Introduction To reduce financial barriers to health care services presented by user fees, Burkina Faso adopted a policy subsidize deliveries and emergency obstetric for the period 2006–2015. Deliveries caesarean sections are subsidized at 80%; women must pay remainder. The worst-off fully exempted. Methods aim of this article is document policy's entire process using analytical framework. Qualitative data drawn from individual interviews (n = 113 persons) focus groups conducted with 344...

Seasonal malaria chemoprevention (SMC) for children < 5 is a strategy that gaining popularity in West African countries. Although its efficacy to reduce incidence has been demonstrated trials, the effects of SMC implemented routine program conditions, outside experimental contexts, are unknown. In 2014 and 2015, survey was conducted 1,311 households located Kaya District (Burkina Faso) where had recently introduced. All 72 months were tested anemia. A pre–post study with control group...

Introduction Most of the literature on terrorist attacks’ health impacts has focused direct victims rather than distal consequences in overall population. There is limited knowledge how attacks can be detrimental to access healthcare services. The objective this study assess impact utilisation maternal services by examining case Burkina Faso. Methods This longitudinal quasi-experimental uses multiple interrupted time series analysis. Utilisation data was extracted from National Health...

To contend with the risk of exclusion created by user fees, those implementing Bamako Initiative (BI) were asked to organise exemption schemes for indigent. But never put in place Africa due difficulties identifying An action research was implemented test hypothesis that a community-based process selecting beneficiaries user-fee exemptions an African environment BI organisation is feasible.This study carried out 10 primary health centres (CSPS) Burkina Faso. Village selection committees...

Abstract Background In 2016, the national user fee exemption policy for women and children under five was introduced in Burkina Faso. It covers most reproductive healthcare services including prenatal care, delivery, postnatal care. subsequent years, gradually extended to include family planning. While studies have shown that abolition policies increase visits health centers improve access planning, there are also indications other barriers remain, notably women’s lack of decision-making...

Abstract Background Improving infant immunization completion and promoting equitable vaccination coverage are crucial to reducing global under-5 childhood mortality. Although there have been hypotheses that the impact of COVID-19 pandemic would decrease delivery health services campaigns in low- middle-income countries, available evidence is still inconclusive. We conducted a study rural Burkina Faso assess changes during pandemic. A secondary objective was examine long-term trends...

Evidence on how the COVID-19 pandemic has affected women's reproductive health remains scarce, particularly for low- and middle-income countries. Deleterious indirect effects seem likely, access to contraception risk of unwanted pregnancies, but rigorous evaluations using quasi-experimental designs are lacking. Taking a diachronic perspective, we aimed investigate four indicators health: history recent adverse events during pregnancy (past), use pregnancies (present), childbearing intentions...

Objectives This study intends to learn lessons quickly from the dengue epidemic of 2023 in Burkina Faso for better preparation future health emergencies. Methods A cross-sectional was conducted April May 2024. The technical functions be explored were coordination, case management, epidemiological surveillance, risk communication and community engagement, vector laboratory logistics. members after action review selected according a reasoned process document best practice gaps, formulate key...

The article recently published by TT Aye et al. (2024) in Health Policy and Planning is a major contribution to understanding the medium-term (5 years) effects of free healthcare policy introduced 2016 Burkina Faso. study makes rigorous use interrupted time series with non-equivalent control group presents wealth information on methodology used. Remarkably, numerous sensitivity analyses were conducted strengthen credibility results limit risk bias. Three salient conclusions are presented:...

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...

User fees were generalized in Burkina Faso the 1990s. At time of their implementation, it was envisioned that measures would be instituted to exempt poor from paying these fees. However, practice, identification indigents is ineffective, and so they do not have access care. Thus, a community-based process for selecting user exemption tested district. In each 124 villages catchment areas ten health centres, village committees proposed lists then validated by centres' management committees....

Background Data aggregation in national information systems begins at the district level. Decentralization has given districts a lead role health planning and management, therefore validity of administrative-based estimates that level is important to improve performance immunization systems.

Health personnel retention in remote areas is a key health systems issue wordwide. To deal with this issue, since 2002 the government of Burkina Faso has implemented staff policy, regionalized recruitment aimed at front-line workers such as nurses, midwives, and birth attendants. This study to describe policy's development, formulation, implementation process for regionalization worker Faso. We conducted qualitative study. The unit analysis single case several levels analysis. was three...

In Sub-Saharan Africa, maternal and neonatal morbidity mortality rates are associated with underutilization of skilled birth attendance (SBA). 2007, Burkina Faso introduced a subsidy scheme for SBA fees. The objective this study was to evaluate the effect Faso's policy on rate across socioeconomic status (SES) strata.We used quasi-experimental design. data sources were two representative surveys (n = 1408 n 1403) women from Houndé Ziniaré health districts Faso, survey centres assessing...

Systems to exempt the indigent from user fees have been put in place prevent worst-off being excluded health care services for lack of funds. Yet implementation these mechanisms is as rare operational research on this topic. This article analyzes an action project aimed at finding appropriate solution make accessible a rural district Burkina Faso.This was initiated 2007 study feasibility and effectiveness community-based, participative financially sustainable process exempting fees. A...

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...

Since 2014, the Burkina Faso government has made Seasonal Malaria Chemoprevention (SMC) a priority in its strategic plan to fight against malaria among children aged from 3 59 months. Very few studies have examined care provided by community health workers framework of this strategy. The purpose study was evaluate level quality latter.This mixed study. quantitative component consisted non-participant observation during administration care. qualitative one-on-one interviews with workers,...

Abstract Background Seasonal malaria chemoprevention (SMC) relies on community health workers to distribute drugs. This study assessed: (1) the capacity of community-based distributors (CBDs) at start and end a campaign from one another after training or refresher courses before each round; (2) what extent CBDs’ experience over several campaigns contributed measurable increase in their capacities; (3) committed CBDs helped less productive catch up. Methods A longitudinal analysis was...

Context Presenting the COVID-19 crisis as a pandemic misleadingly implies certain homogeneity between regions of Globe in terms their burden and reactions. However, from outset crisis, countries presented different epidemiological realities sometimes adopted divergent, even opposing measures. Curiously, heterogeneity responses persisted scientific evidence accumulated about strategies for dealing with it. Case study This commentary aims to recount specific experience Burkina Faso, how it...