Optimizing primary health care in Burkina Faso: an approach informed by EQUIST

IF 0.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2023-12-11 DOI:10.3917/spub.234.0435

Ermel A K Johnson, Moumini Niaoné, Aristide Romaric Bado, Youl Yeri Traore, Issiaka Sombié

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引用次数: 0

Abstract

Introduction: Burkina Faso has made access to primary health care a national priority by including it in the 2021-2030 national health development plan.

Purpose of research: Our study aimed to analyze the causes of inequalities in access to primary health care, priority interventions and strategies for strengthening primary health care, and their potential impact on reducing maternal and infant mortality.

Results: Diarrheal diseases, malaria, and pneumonia are the main causes of inequalities in infant and child deaths in rural areas. As for maternal deaths, abortion and its complications are the main causes of inequalities in deaths associated with hypertensive disorders. The Sahel, Boucle du Mouhoun, Center-North, East, and Cascades regions are the geographical areas where interventions are essential to reduce inequalities in maternal, neonatal, infant and child deaths and malnutrition.

Conclusions: The national priorities have included all the high-impact interventions for strengthening primary health care identified in our study. Interventions must prioritize the populations in rural areas, the most affected and high-impact geographical regions. This requires the involvement and empowerment of beneficiary communities and the consideration of the fragile safety context.

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优化布基纳法索的初级卫生保健：汲取 EQUIST 方法的启示

导言：布基纳法索已将获得初级卫生保健作为国家优先事项，将其纳入 2021-2030 年国家卫生发展计划：研究目的：我们的研究旨在分析初级卫生保健不平等的原因、加强初级卫生保健的优先干预措施和战略，以及这些措施和战略对降低母婴死亡率的潜在影响：腹泻病、疟疾和肺炎是农村地区婴幼儿死亡不平等的主要原因。至于孕产妇死亡，流产及其并发症是造成高血压相关死亡不平等的主要原因。萨赫勒、布克莱迪穆翁、中北部、东部和喀斯喀特地区是必须采取干预措施减少孕产妇、新生儿、婴幼儿死亡和营养不良不平等现象的地理区域：国家优先事项包括我们研究中确定的加强初级卫生保健的所有高效干预措施。干预措施必须优先考虑农村地区人口、受影响最严重和影响最大的地理区域。这需要受益社区的参与和赋权，并考虑到脆弱的安全环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc