Mobiliser des représentations ethnoculturelles pour expliquer les disparités d’accès aux soins de santé au Burkina Faso

Belaid, Loubna; Cloos, Patrick; Ridde, Valéry

doi:10.17269/cjph.108.5628

Cited by 6 publications

(5 citation statements)

References 37 publications

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“…In Burkina Faso, where diversity mainly concerns gender and disciplinary issues (even if the question of regional representations is a major political issue, including in the health system 16 ), we also note a virtual absence of women among the teaching staff, both in public and private health training institutes. There is only one woman among the nine members of the national public health institution’s Board of Directors and women represent only 28% of the administrative, technical and scientific staffs of the institution.…”

Section: Alarming Findings On the Lack Of Diversitymentioning

confidence: 81%

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Closing the diversity and inclusion gaps in francophone public health: a wake-up call

2021

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Section: Alarming Findings On the Lack Of Diversitymentioning

confidence: 81%

“…30 From the USA to Burkina Faso, work has long shown that public health is not free from racism 31 or ethno-cultural biases. 16 …”

Section: Possible Explanations and Some Consequencesmentioning

confidence: 99%

Closing the diversity and inclusion gaps in francophone public health: a wake-up call

2021

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“…For example, Hindus may consider interacting with bodily excretions to be a job for the lower castes, while Muslims may be uncomfortable interacting with the opposite gender (57). Cultural issues are rarely considered in health reforms, and examples from Asia and Africa show how these relationships can undermine the quality of care for women (58,59).…”

Section: Absence Of a Well-balanced Workforcementioning

confidence: 99%

Health Systems Reforms in Bangladesh: An Analysis of the Last Three Decades

Udechukwu,

Fofana,

Carnapete

et al. 2023

Preprint

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Objective: We reviewed the evidence regarding the health sector reforms implemented in Bangladesh within the past 30 years to understand their impact on the health system and healthcare outcomes. Method: We completed a scoping review of the most recent and relevant publications on health system reforms in Bangladesh from 1990 through 2023. Studies were included if they identified health sector reforms implemented in the last 30 years in Bangladesh, if they focused on health sector reforms impacting health system dimensions, if they were published between 1991 and 2023 in English or French and were full-text peer-reviewed articles, literature reviews, book chapters, grey literature, or reports. Results: Twenty-four studies met the inclusion criteria. The primary health sector reform shifted from a project-based approach to financing the health sector to a sector-wide approach. Studies found that implementing reform initiatives such as expanding community clinics and a voucher scheme improved healthcare access, especially for rural districts. Despite government efforts, there is a significant shortage of formally qualified health professionals, especially nurses and technologists, low public financing, a relatively high percentage of out-of-pocket payments, and significant barriers to healthcare access. Conclusion: Evidence suggests that health sector reforms implemented within the last 30 years had a limited impact on health systems. More emphasis should be placed on addressing critical issues such as human resources management and health financing, which may contribute to capacity building to cope with emerging threats, such as climate change.

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“…Those on smaller scales have shown that districts (provinces or communes) can contain considerable variations in health indicators due to variations in population density, occupational and industrial composition, environmental hazards and local diseases [6, 7.8]. It is thus agreed that geographical inequalities in health are caused, among other things, by the geographical distribution of people belonging to different social classes and experiencing different levels of material deprivation, geographical differences in behavior, geographical differences in supply of care and geographical differences in climate [9,10,11,12,13,14,15,16]. For example, some regions are better equipped with healthcare structures so that they are closer to the populations, which facilitates their use [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…It is thus agreed that geographical inequalities in health are caused, among other things, by the geographical distribution of people belonging to different social classes and experiencing different levels of material deprivation, geographical differences in behavior, geographical differences in supply of care and geographical differences in climate [9,10,11,12,13,14,15,16]. For example, some regions are better equipped with healthcare structures so that they are closer to the populations, which facilitates their use [16,17]. These geographical inequalities are all the more marked when the specialty is rare [20].…”

Section: Introductionmentioning

confidence: 99%

Estimation in small areas: a trial on the prevalence of care seeking in case of fever in children under five years of age in 342 communes of Burkina Faso

BASSINGA

2023

Preprint

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Background Generally caused by pneumonia and malaria, fever in children is one of the early signs easily identified by caregivers. These two diseases are also the leading causes of death among children under five in sub-Saharan Africa (SSA). This article proposes estimates of the prevalence of care seeking in the event of fever in children under five at the municipal level, the smallest geographical and administrative entity from which a local development policy can be driven and coordinated by the community. Methods The data used were collected during the 2018 malaria multiple indicator survey, those of the general population and housing census of 2019 as well as environmental data. The survey involved 5,489 children under 5 and the census 293,715 children under 5. The estimation approach used is that of Elbers Langjouw and Langjouw (ELL) which consists of combining, in a statistical model, data from several sources, mainly census and survey data, to obtain predictions at a geographical level lower than that of the survey, for indicators that are not measured in the population census. The method does this by finding correlations between common census variables and survey data. Result The results reveal communal inequalities in the prevalence of care seeking in case of fever in children under five. Of the 342 municipalities in which estimates have been made, 184 have prevalence below the national average, which is 68%. The commune of Toeni has the lowest prevalence of seeking care in the event of fever among the communes (47.2% with CI= [35.6; 58.7]). The highest prevalence is observed in the municipality of Loumbila with a value of 84.4% [76.6; 92.2]. Contribution : This article innovates by the analysis approach which is based on several sources of data to offer fine estimates, useful for more effective political action. Estimates at the municipal level will help localize interventions so that they are closer to the needs of the population and assess the effectiveness of programs and policy planning.

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Mobiliser des représentations ethnoculturelles pour expliquer les disparités d’accès aux soins de santé au Burkina Faso

Cited by 6 publications

References 37 publications

Closing the diversity and inclusion gaps in francophone public health: a wake-up call

Closing the diversity and inclusion gaps in francophone public health: a wake-up call

Health Systems Reforms in Bangladesh: An Analysis of the Last Three Decades

Estimation in small areas: a trial on the prevalence of care seeking in case of fever in children under five years of age in 342 communes of Burkina Faso

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