ArticleThe International journal of health planning and management2020
Regional health disparities in Burkina Faso during the period of health care decentralization. Results of a macro-level analysis.
Article in The International journal of health planning and management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Availability and readiness of health facilities in Burkina Faso to provide antenatal care: trend analysis from 2012 to 2020.Reproductive health · 2025Article
- Estimating mechanisms linking relative income to self-rated health by multilevel modeling: the moderating role of healthcare access and quality index.BMC public health · 2025Article
- The experience of Tunisian public healthcare system toward decentralization to the reduction of health inequalities in low-, middle- income countries.International journal for equity in health · 2024Article
- Territorial Disparities in Dental Care for Disabled Persons and Oral Health-Related Indicators: A Population-Level Approach in Brazil's Public Healthcare System from 2014 to 2023.International journal of environmental research and public health · 2024Article
- Safe sex negotiation and HIV risk reduction among women: A cross-sectional analysis of Burkina Faso 2021 Demographic and Health Survey.PLOS global public health · 2024Article
- Health and economic burden estimates of snakebite management upon health facilities in three regions of southern Burkina Faso.PLoS neglected tropical diseases · 2021Article
- A microplanning model to improve door-to-door health service delivery: the case of Seasonal Malaria Chemoprevention in Sub-Saharan African villages.BMC health services research · 2020Article
- Regional health disparities in Burkina Faso during the period of health care decentralization. Results of a macro-level analysis.The International journal of health planning and management · 2020Article
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3 authors.
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Abstract
backgroundBurkina Faso has undertaken decentralization reforms in the health care sector to improve the performance of the health system. This study aimed to analyze the differences in health outcomes by health district's demographic and economic status, and the distribution of health resources during the period of health care decentralization.
methodsA bivariate correlation analysis was conducted using data at the health districts and regions level. Data from the health management information system (HMIS) and national households' surveys were used.
resultsThe results indicate a strong correlation between district's population size and the availability of health resources (P ≤ .05). The health visits per capita and skilled birth attendance are correlated with the economic status of the health district (P ≤ .05). Malnutrition among under-five and maternal mortality was associated with the availability of health personnel and health infrastructures (P ≤ .05). No correlation was found between financial resources and health outcomes.
conclusionThe results indicated disparities in health among the health districts in Burkina Faso. The ways to address this inequality include more transparent resource allocation, as well as policies to address the socio-economic disparities and financial barriers to health services. Further research is needed to collect relevant data and investigate the effects of decentralization, which was not possible in our study.
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