Landscape analysis of healthcare workforce and resilience actions in the Sahelian context of high security challenge areas: The case of Burkina Faso

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-19 DOI:10.1002/hpm.3764

Ousmane Ouedraogo, Salif Siguré, Simon Sanou, Aissata Kaboré, Marie Michele Dahany, Saidou Diallo

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引用次数: 0

Abstract

Introduction

Access to health services is a major challenge in developing countries in general, particularly those affected by insecurity. The availability of sufficient quantity and quality of equitably distributed healthcare workforce is a major obstacle, yet it is an essential pillar of an effective and efficient national health system. Burkina Faso, similar to other countries in the Sahel, has been affected by an unprecedented security crisis that has severely tested the functionality of health facilities and the availability of healthcare workforce.

Objective

To describe the landscape of healthcare workforce and to analyse the actions taken by the government and other stakeholders to improve the resilience of the system and the retention of healthcare workers in the context of major security challenges.

Methods

This is a transversal, descriptive and analytical study carried out in Burkina Faso in 2023 through a documentary review, analyses of databases collected from health districts and regional directorates, focus groups and a national triangulation workshop with key informants.

Results

The study shows that, with the closure and minimal functioning of certain health facilities in security-challenged areas, healthcare workforceare concentrated in the urban areas of regional and district capitals, to the detriment of rural areas. Some staff become in an irregular situation regarding the administration. To strengthen resilience to the crisis, the main solutions have been implemented: (i) enhancing the community platform with the recruitment of 15,000 community-based health volunteers, (ii) delegating tasks to community health agents, (iii) simplified approaches, (iv) advanced health posts and mobile clinics, (v) redeployment to the most stable structures, (vi) thinking about legislation in crisis situations.

Conclusion

Community resilience through the delegation of tasks to community-based health workers and strengthening of the community health platform has helped ensure the continuity of care in insecure areas. However, the optimization of innovative and attractive strategies will further improve the retention and return of healthcare workers in rural areas affected.

查看原文本刊更多论文

萨赫勒高安全挑战地区医疗保健队伍和复原力行动的情况分析：布基纳法索案例。

导言：在发展中国家，尤其是受不安全因素影响的国家，获得医疗服务是一项重大挑战。提供数量充足、质量合格、分布公平的医护人员队伍是一大障碍，但这却是有效和高效的国家卫生系统的重要支柱。布基纳法索与萨赫勒地区的其他国家一样，也受到了前所未有的安全危机的影响，医疗设施的功能和医疗队伍的可用性都受到了严峻考验：描述医疗保健人员的状况，并分析政府和其他利益相关方在面临重大安全挑战的情况下为提高系统的复原力和留住医疗保健人员而采取的行动：这是一项横向、描述性和分析性研究，于 2023 年在布基纳法索进行，通过文献回顾、分析从卫生区和地区局收集的数据库、焦点小组以及与主要信息提供者举行的全国三角测量研讨会进行：研究结果表明，在安全受到挑战的地区，随着某些医疗设施的关闭和最低限度的运作，医护人员集中在大区和区首府的城市地区，不利于农村地区。一些工作人员在行政管理方面处于非正常状态。为了加强对危机的应变能力，已经实施了主要的解决方案：(i) 通过招募 15 000 名社区保健志愿者来加强社区平台，(ii) 将任务下放给社区保健代理，(iii) 简化方法，(iv) 先进的保健站和流动诊所，(v) 重新部署到最稳定的机构，(vi) 思考危机情况下的立法问题：通过向社区保健工作者下放任务和加强社区保健平台，社区的复原力有助于确保在不安全地区提供持续的保健服务。然而，优化创新和有吸引力的战略将进一步改善受影响农村地区医护人员的留任和返回。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.