1. Healthcare system’s preparedness to provide cardiovascular and diabetes-specific care in the context of geopolitical crises in Burkina Faso: a trend analysis from 2012 to 2018
- Author
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Kadari Cissé, Sékou Samadoulougou, Jean Kaboré, Paulin Somda, Augustin Zongo, Soumaïla Traoré, Patrice Zabsonre, Jean Cyr Yombi, Seni Kouanda, and Fati Kirakoya-Samadoulougou
- Subjects
General Medicine - Abstract
ObjectiveThis study aimed to evaluate the trends of the availability and readiness of the healthcare system to provide cardiometabolic (cardiovascular diseases (CVD) and diabetes) services in Burkina Faso in multiple political and insecurity crises context.DesignWe performed a secondary analysis of repeated nationwide cross-sectional studies in Burkina Faso.Data sourceFour national health facility survey data (using WHO Service Availability and Readiness Assessment (SARA) tool) conducted between 2012 and 2018 were used.ParticipantsIn 2012, 686 health facilities were surveyed, 766 in 2014, 677 in 2016 and 794 in 2018.Primary and secondary outcome measuresThe main outcomes were the availability and readiness services indicators defined according to the SARA manual.ResultsBetween 2012 and 2018, the availability of CVD and diabetes services significantly increased (67.3% to 92.7% for CVD and 42.5% to 54.0% for diabetes). However, the mean readiness index of the healthcare system to manage CVD decreased from 26.8% to 24.1% (p for trend ConclusionIn this first monitoring study, we found a low level and decreased trend of readiness of the healthcare system for delivering cardiometabolic care, particularly during the crisis period and in conflicted regions. Policymakers should pay more attention to the impact of crises on the healthcare system to mitigate the rising burden of cardiometabolic diseases.
- Published
- 2023