Financial access to health care in Karuzi, Burundi: a household-survey based performance evaluation

Lambert-Evans, Sophie; Ponsar, Frederique; Reid, Tony; Bachy, Catherine; Herp, Michel Van; Philips, Mit

doi:10.1186/1475-9276-8-36

Cited by 6 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Scholars [ 15 , 16 ] contend that the lack of access to clean and safe water, limited access to health care, poor sanitation facilities, and undernutrition account for the high incidence of diarrhoea among under-five children. Even though access to health facilities seems to be adequate in Burundi, about 61% of the population cannot afford health care costs [ 17 ]. According to OConnell et al [ 15 ], an increased risk of diarrhoea among children under five is associated with unimproved sanitation, younger mothers, and mothers with sub-tertiary education levels.…”

Section: Discussionmentioning

confidence: 99%

Joint effect of water and sanitation practices on childhood diarrhoea in sub-Saharan Africa

et al. 2023

View full text Add to dashboard Cite

Background Diarrhoea remains the major cause of morbidity and mortality of children under five years in Africa. Several studies have shown that inadequate and unsafe water, lack of sanitation, and poor hygiene practices are complex issues for different pathogens and accountable for the occurrence of diarrhoea diseases. We assessed the combined effect of household’s source of drinking water and type of toilet facility and residential wellbeing on the incidence of childhood diarrhoea in 33 Sub-Saharan Africa countries while accounting for relevant compositional and contextual factors. Methods The 2010–2019 datasets from the Demographic and Health Surveys were drawn for analyses. The outcome variable used in this study was the incidence of childhood diarrhoea. Three negative log-log generalized linear regression models were then sequentially fitted to the data to examine the joint effect of household water and sanitation practices on child diarrhoea. The results were presented using crude odds ratios (CORs) and adjusted odds ratios (AORs) at 95% confidence intervals (CIs). Using ArcGIS software, maps were design to unveil the spatial distribution of key variables. Findings Approximately 16% of the 307,741 mothers interviewed reported an incidence of diarrhoea disease among children under-five years in their households. The results showed that a household depending on an unimproved source of drinking water and with an unimproved type of toilet facility was not significantly associated with childhood diarrhoea. However, those with improved drinking water but an unimproved type of toilet facility had higher odds of reporting childhood diarrhoea (AOR = 1.020, 95% CI = 1.003-1-036) compared to those in households with both improved source of drinking water and type of toilet facility. Across the geographical regions, Eastern (aOR = 1.102, 95% CI = 1.084–1.120) and Central Africa (aOR = 1.102, 95% CI = 1.083–1.121) were more likely to experience child diarrhoea. Conclusion Water and sanitation practices such as the source of drinking water and toilet facility, and geographic region had significant effects on childhood diarrhoea in sub-Saharan Africax. The findings suggest the need for multi-sectoral actions that recognise the geo-spatial and temporal characteristics identified in the study through regional to national policies. Water and sanitation community-based interventions that seek to improve equitable access to safe water and sanitation in the sub-region should be intensified.

show abstract

Section: Discussionmentioning

confidence: 99%

Joint effect of water and sanitation practices on childhood diarrhoea in sub-Saharan Africa

et al. 2023

View full text Add to dashboard Cite

show abstract

“…In addition, there is unequal distribution of health professionals; most qualified health professionals are found in urban areas, while most Burundians stay in rural areas [ 7 ]. Furthermore, around 61% of Burundians are unable to pay health care fees with their usual income; they require additional sources of funding, such as working additional jobs or selling a part of their properties, or they could go into debt [ 46 ]. These factors could inhibit the promptness of treatment of diarrhea, which is a key factor to reduce cost.…”

Section: Discussionmentioning

confidence: 99%

Economic burden of childhood diarrhea in Burundi

Niyibitegeka

Riewpaiboon

Youngkong

et al. 2021

glob health res policy

View full text Add to dashboard Cite

Background In 2016, diarrhea killed around 7 children aged under 5 years per 1000 live births in Burundi. The objective of this study was to estimate the economic burden associated with diarrhea in Burundi and to examine factors affecting the cost to provide economic evidence useful for the policymaking about clinical management of diarrhea. Methods The study was designed as a prospective cost-of-illness study using an incidence-based approach from the societal perspective. The study included patients aged under 5 years with acute non-bloody diarrhea who visited Buyenzi health center and Prince Regent Charles hospital from November to December 2019. Data were collected through interviews with patients’ caregivers and review of patients’ medical and financial records. Multiple linear regression was performed to identify factors affecting cost, and a cost model was used to generate predictions of various clinical and care management costs. All costs were converted into international dollars for the year 2019. Results One hundred thirty-eight patients with an average age of 14.45 months were included in this study. Twenty-one percent of the total patients included were admitted. The average total cost per episode of diarrhea was Int$109.01. Outpatient visit and hospitalization costs per episode of diarrhea were Int$59.87 and Int$292, respectively. The costs were significantly affected by the health facility type, patient type, health insurance scheme, complications with dehydration, and duration of the episode before consultation. Our model indicates that the prevention of one case of dehydration results in savings of Int$16.81, accounting for approximately 11 times of the primary treatment cost of one case of diarrhea in the community-based management program for diarrhea in Burundi. Conclusion Diarrhea is associated with a substantial economic burden to society. Evidence from this study provides useful information to support health interventions aimed at prevention of diarrhea and dehydration related to diarrhea in Burundi. Appropriate and timely care provided to patients with diarrhea in their communities and primary health centers can significantly reduce the economic burden of diarrhea. Implementing a health policy to provide inexpensive treatment to prevent dehydration can save significant amount of health expenditure.

show abstract

“…CHCs stand as fundamental pillars within the healthcare system, tasked with delivering essential healthcare services at the grassroots level. Assessing CHC performance is critical for gauging the degree to which these institutions successfully meet established health objectives (Lambert-Evans, Ponsar, Reid, Bachy, Van Herp, & Philips, 2009;Tabrizi, Farahbakhsh, Iezadi, & Ahari, 2017). Through evaluation, both accomplishments and obstacles encountered by CHCs in ensuring community access, service quality, and satisfaction can be pinpointed (Qian, Rui, Jiaoling, Jianwei, Ning, Yan, & Chaoxin, 2019).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the capacity of community health centers to achieve high-performance: A descriptive analysis of health survey data

Nurhayati,

Sastrawan,

Sismulyanto

2024

Internat.Jrnl.

View full text Add to dashboard Cite

Background: The background of this research arises from the need to understand the overall performance of Community Health Centers (CHCs) in East Lombok Regency. CHCs play a crucial role in providing public health services, and the evaluation of their performance is essential to ensure the effectiveness of these services. Through descriptive analysis of health survey data, valuable insights are expected to contribute to the development of health policies and the improvement of health services in East Lombok Regency. Purpose: To provide a comprehensive overview of the extent to which the performance goals of CHCs in the East Lombok region have been achieved. Method: This research employs a descriptive analysis approach by collecting data through a health survey involving respondents from various layers of the community in East Lombok Regency. Carefully crafted survey instruments are used to gather information related to CHCs performance, covering aspects such as accessibility, service quality, and public satisfaction. Data collection is conducted meticulously and structured to ensure the validity and reliability of the results. Descriptive statistical data analysis is employed to intricately describe the conditions of CHCs performance. This research method is expected to provide a comprehensive understanding of the factors influencing CHCs performance in East Lombok Regency. Results: There are several aspects that still need attention and improvement. In public health efforts, especially in health promotion, there are some indicators that are lacking, such as the number of types of printed health promotion media and the coverage of policies supporting the healthy living community movement. Maternal and child health also show satisfactory achievement levels, but there are still some variables that require further attention, such as the coverage of delivery services for mothers in health facilities and the coverage of services for toddlers. Additionally, in the development of community oral health efforts, there are some aspects that are assessed as less satisfactory, such as the implementation of community-based oral health efforts in integrated health service posts and traditional health practices that have not reached the desired targets. Therefore, to improve the performance of Masbagik CHC, a thorough evaluation of these less satisfactory aspects is needed, along with the design of appropriate improvement strategies to achieve more optimal results. Conclusion: Essential public health efforts, especially in health promotion, show less than optimal achievements. Meanwhile, environmental health and family health efforts demonstrate good achievements. Specific health services, such as vaccination, infectious disease control, and early detection of diseases, show good to excellent achievements. However, certain aspects of traditional health practices, sports, and occupational health show satisfactory achievements and require more attention. The implication is to enhance efforts in health promotion, strengthen traditional health efforts, and improve achievements in hajj health, sports, and occupational health to achieve a more holistic public health.

show abstract

Financial access to health care in Karuzi, Burundi: a household-survey based performance evaluation

Cited by 6 publications

References 19 publications

Joint effect of water and sanitation practices on childhood diarrhoea in sub-Saharan Africa

Joint effect of water and sanitation practices on childhood diarrhoea in sub-Saharan Africa

Economic burden of childhood diarrhea in Burundi

Evaluation of the capacity of community health centers to achieve high-performance: A descriptive analysis of health survey data

Contact Info

Product

Resources

About