ArticleReproductive health2025
Availability and readiness of health facilities in Burkina Faso to provide antenatal care: trend analysis from 2012 to 2020.
Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntenatal care (ANC) is a critical maternal health service that, if well done, helps to reduce morbidity and mortality that could occur amongst pregnant women and their babies. This study analyses the trend in availability of and health facility readiness to provide high-quality ANC in Burkina Faso between 2012 and 2020, a period spanning the introduction of user-fee exemption policy and conflict in several regions.
methodsWe conducted a trend analysis of repeated cross-sectional health facility data using the nationally representative Service Availability and Readiness Assessment (SARA) surveys conducted in 2012, 2014, 2016 and 2018 and the census-based 2020 Health Harmonized Facilities Assessment (HHFA). We used tracer indicators defined by both surveys to characterize availability of services and health facility readiness. Availability and readiness indices were calculated using the equal-weighted approach, and the domain-weighted approach was used for readiness only. Trends were assessed using weighted multivariate linear regression.
resultsThe number of health facilities surveyed was 686 in 2012, 766 in 2014, 677 in 2016, 794 in 2018 and 2,728 in 2020. ANC availability decreased from 72.2% in 2012 to 70.9% by 2020 in a statistically significant decreasing trend ([Formula: see text]. For health facilities in rural locations, there was a statistically significant improvement in the ANC availability ([Formula: see text] while for those in urban settings, there was an overall statistically significant decreasing trend ([Formula: see text]. For ANC service readiness, there was also a statistically significant decline after adjustments for health facility characteristics ([Formula: see text]). Adjusted readiness score for staff and guidelines significantly decreased during the study period ([Formula: see text], while the adjusted score of other domains (equipment ([Formula: see text], diagnosis ([Formula: see text], and medicines ([Formula: see text] significantly increased. For both outcomes, there were regional disparities with Est showing statistically significant incremental changes and Centre Sud showing statistically significant declining trends.
conclusionThis study shows decreases in ANC service availability and readiness between 2012 and 2020 in Burkina Faso. In the context of the implementation of global recommendations regarding ANC services and ongoing conflict in the country disrupting the health system, there is an urgent need to pay attention to ANC service strengthening, particularly the availability of trained health personnel and guidelines at all levels of the healthcare system, especially public health facilities in urban settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.