Burkina Faso

Utilization of Community Health Workers for Malaria Treatment: Results from a Three-Year Panel Study in the Districts of Kaya and Zorgho, Burkina Faso

Malaria is holo-endemic in Burkina Faso and causes approximately 40,000 deaths every year. In 2010, health authorities scaled up community case management of malaria with artemisinin-based combination therapy. Previous trials and pilot project evaluations have shown that this strategy may be feasible, acceptable, and effective under controlled implementation conditions. However, little is known about its effectiveness or feasibility/acceptability under real-world conditions of implementation at national scale. [from abstract]

Do Community Health Workers Perceive Mechanisms Associated with the Success of Community Case Management of Malaria? A Qualitative Study From Burkina Faso

The use of community health workers to administer prompt treatments is gaining popularity in most sub-Saharan African countries. Their performance is a key challenge because it varies considerably, depending on the context, while being closely associated with the effectiveness of case management strategies. What determines community health workers’ performance is still under debate. Based on a realist perspective, a systematic review recently hypothesized that several mechanisms are associated with good performance and successful community interventions.

Early Infant Feeding Practices in Three African Countries: The PROMISE-EBF Trial Promoting Exclusive Breastfeeding By Peer Counsellors

Immediate and exclusive initiation of breastfeeding after delivery have been associated with better neonatal survival and child health and are recommended by the WHO. We report impact on early infant feeding practices from the PROMISE-EBF trial. [from abstract]

Establishing Sustainable Performance-Based Incentive Schemes: Views of Rural Health Workers from Qualitative Research in Three Sub-Saharan African Countries

Performance-based incentives (PBIs) are currently receiving attention as a strategy for improving the quality of care that health providers deliver. Experiences from several African countries have shown that PBIs can trigger improvements, particularly in the area of maternal and neonatal health. The involvement of health workers in deciding how their performance should be measured is recommended. Only limited information is available about how such schemes can be made sustainable. [from introduction]

Burkina Faso Country Profile: Meeting People's Needs with IA/PMs

Burkina Faso faces a daunting family planning (FP) challenge. While the use of any modern contraceptive method
more than tripled between 1993 and 2006, the unmet need for FP remains high, at 31.1% among married women. Long-acting methods (IUDs and implants)and permanent methods (female sterilization and vasectomy) are the most effective
of all FP methods. However, use of long-acting and permanent methods of contraception (LA/PMs) in Burkina Faso remains
low, at 13% of the overall method mix. [adapted from source]

Which Incentive Package Will Retain Regionalized Health Personnel in Burkina Faso: A Discrete Choice Experiment

The objective of the study was to identify a package for attracting and retaining health workers in underserved areas. [from abstract]

Nursing and Midwife Staffing Needs in Maternity Wards in Burkina Faso Referral Hospitals

The aim of this study was to measure the capacity of referral hospitals’ maternity services to cope with the demand for health services after the implementation of this policy. [from abstract]

An Exploratory Analysis of the Regionalization Policy for the Recruitment of Health Workers in Burkina Faso

The idea for this policy emerged after finding a highly uneven distribution of health personnel across urban and rural areas, the availability of a large number of health officers in the labour market, and the opportunity given to the Ministry of Health by the government to recruit personnel through a specific budget allocation. [from abstract]

Exploring the Effects of Task Shifting for HIV through a Systems Thinking Lens: The Case of Burkina Faso

This study aims to conceptualize the wider range of effects of task shifting through a systems thinking lens and to explore these effects using task shifting for HIV in Burkina Faso as a case study. [adapted from abstract]

Compliance with Focused Antenatal Care Services: Do Health Workers in Rural Burkina Faso, Uganda and Tanzania Perform All ANC Procedures?

This study aimed to assess health workers’ compliance with the procedures set in the focused antenatal care guidelines in rural Uganda, Tanzania and Burkina Faso; to compare the compliance within and among the three study sites; and to appraise the logistic and supply of the respective health facilities. [from abstract]

Voluntary HIV Testing and Risky Sexual Behaviours among Health Care Workers: A Survey in Rural and Urban Burkina Faso

This study aims to assess the prevalence of voluntary counselling and testing and high risk behaviours among health care workers in Burkina Faso. [from abstract]

Motivation and Incentives of Rural Maternal and Neonatal Health Care Providers: A Comparison of Qualitative Findings from Burkina Faso, Ghana and Tanzania

This study explores the role of provider motivation in the quality of maternal and neonatal care. The main research questions were: which factors motivated these respondents to join the health professions; what is understood by the term motivation; what influences their motivation, job satisfaction and the quality of their care; and which incentives do these providers themselves suggest. [adapted from author]

Challenges of Developing an Instrument to Assess Health Provider Motivation at Primary Care Level in Rural Burkina Faso, Ghana and Tanzania

The objective of this study was to develop a common instrument to monitor any changes in maternal and neonatal health care provider motivation resulting from the introduction of pilot interventions in rural, primary level facilities in Ghana, Burkina Faso, and Tanzania. [from abstract]

Health Worker Preferences for Community-Based Health Insurance Payment Mechanisms: A Discrete Choice Experiment

Although a community-based health insurance scheme (CBI) was introduced in Burkina Faso, coverage has remained low and dropout rates high because health workers are dissatisfied with the provider payment mechanism. This research was used to examine CBI provider payment attributes that influence healthcare workers’ stated preferences for payment mechanisms. [adapted from abstract]

How to Know What You Need to Do: A Cross-Country Comparison of Maternal Health Guidelines in Burkina Faso, Ghana and Tanzania

This study explored clinical practice guidelines (CPGs) for maternal health in Burkina Faso, Ghana, and Tanzania to compare factors related to CPG use including their content compared with World Health Organization guidelines, their format, and their development processes; and to explore perceptions of their availability and use in practice. The overall purpose was to further the understanding of how to increase CPGs’ potential to improve quality of care for mothers. [adapted from abstract]

Methods for Evaluating Effectiveness and Cost-Effectiveness of a Skilled Care Initiative in Rural Burkina Faso

This paper aims to describe the design, methods and approaches used to assess the effectiveness and cost-effectiveness of the skilled care initiative in reducing pregnancy-related and perinatal mortality in Ouargaye district, Burkina Faso. [from summary]

Effects of a Skilled Care Initiative on Pregnancy-Related Mortality in Rural Burkina Faso

The aim of this paper is to assess to what extent a skilled care initiative was associated with pregnancy-related mortality in Ouargaye district, Burkina Faso. [from summary]

Cost-Effectiveness Study of Caesarean-Section Deliveries by Clinical Officers, General Practitioners and Obstetricians in Burkina Faso

This paper evaluates the effectiveness and cost-effectiveness of alternative training strategies for increasing access to emergency obstetric care in Burkina Faso. [adapted from abstract]

Process and Effects of a Community Intervention on Malaria in Rural Burkina Faso: Randomized Controlled Trial

In the rural areas of sub-Saharan Africa, the majority of young children affected by malaria have no access to formal health services. Home treatment through mothers of febrile children supported by mother groups and local health workers has the potential to reduce malaria morbidity and mortality. [from author]

Financial Incentives and Mobility of the Health Workforce in Burkina Faso

This presentation was given at the First Forum on Human Resources for Health in Kampala. It describes a study done to analyze health worker perceptions of renumeration and determine the factors that affect the mobility of the health workforce in Burkina Faso