Étude des mécanismes pérennes de financement des médicaments essentiels à Loumbila, Burkina Faso

Abstract

Households are the main source of health care financing in Burkina Faso. The current system based on out-of-pocket health payments is a major cause of poverty. The purpose of this study was to contribute to the improvement of local health funding in Loumbila and throughout the country. A descriptive and analytical study was conducted among 271 household heads, 3 health committee members, the prefet (the top state official in the area), and the secretary general of the municipality between 25 June and 5 August 2010. A survey guide and questionnaires were used to collect data. The standard public health survey method was used to collect, process, analyze and discuss the results. The results of the survey indicate that 82.3% of the participating households were willing to contribute to the creation of a local health fund in the village. The study found that the average contribution rate of each household amounted to 9% of their annual income. The best periods for collecting funds are during the harvest season (in the case of farmers) or any favorable period (in the case of other households). The municipal committee will need to be responsible for managing and coordinating the municipal health fund. This requires the participation of the state, health districts, NGOs and other partners. The cost of effective treatment for the top ten priority diseases in the village in 2010 is estimated to be 4,011,300 FCFA. If all the households in the village were to contribute to the municipal health fund, the total amount of contributions would amount to 15,575,515 FCFA. Under this system, all households within the village can have access to essential drugs. The municipal health fund can also support municipal development boards to improve the independence and sustainability of the system.

Stakeholder perceptions on the deployment of multiple first-line therapies for uncomplicated malaria: a qualitative study in the health district of Kaya, Burkina Faso

“…Although some PHF drug store managers suggest the abolition of free drugs to reduce wastage and stock-outs, several community members and some HWs believe that it is a factor favourable to patient compliance. The cost of medicines has long been an economic burden for poor households, especially those living in rural areas [ 36 ].…”

Les modalités de collecte du financement de la santé au Burkina Faso de 1980 à 2012

“…Deux facteurs favorisent leur émergence : l'augmentation d'organisations issue de la société civile qui offrent des services économiques et sociaux aux individus et les conséquences du paiement direct [37]. À l'exception de trois articles [37][38][39], tous les autres sont centrés sur l'analyse d'un système de prépaiement mis en place dans le district sanitaire de Nouna.…”

“…• Préférences des acteurs sur les modalités de l'assurance communautaire Les populations souhaitent que l'assurance finance l'intégralité de la prise en charge de l'épisode de maladie [46]. Une étude concernant une caisse communautaire pour l'achat des médicaments essentiels montre que les ménages suggèrent une cotisation moyenne annuelle de 9 % du total de leur revenu annuel [38]. Une étude rapporte que les agents de santé préfèrent un coût de l'adhésion à 1 500 francs CFA annuel pour les enfants [47].…”