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Introduction. L’offre de soins de santé doit être de qualité, donc sécurisée pour le patient. L’étude a évalué les pratiques de pose de cathéter veineux périphérique (CVP) en relation avec la prévention des infections associées aux soins dans les services des urgences médicale et chirurgicale du Centre hospitalier universitaire Souro Sanou de Bobo Dioulasso, Burkina Faso.Matériel et méthodes. Il s’est agi d’une étude observationnelle prospective à visée descriptive. Collectées du 4 juillet au 3 août 2018, les données incluaient toutes les insertions de CVP et ont concerné le processus d’insertion, la surveillance et la traçabilité.Résultats. Parmi les 511 actes d’insertion de CVP observés ; 81,4% ont été insérés par des prestataires de sexe masculin et 97,4% par le personnel infirmier. Il n’a pas été observé ni élimination immédiate du mandrin ni antisepsie lors de la manipulation. Il n’a été observé aucune traçabilité de l’insertion, de la surveillance et de l’ablation des cathéters veineux périphériques.Conclusion. Il s’avère nécessaire de mettre en place des protocoles d’insertion, d’ablation, de manipulation et de surveillance des cathéters veineux périphériques afin d’améliorer la qualité des soins et la sécurité des patients. Introduction. The provision of health care must be of high quality and therefore safe for the patient. This study evaluated peripheral venous catheter (PVC) insertion practices in relation to the prevention of healthcare-associated infections in the medical and surgical emergency departments of the Souro Sanou University Hospital in Bobo Dioulasso, Burkina Faso.Materials and methods. This was a prospective observational study with a descriptive aim. Collected from July 4 to August 3, 2018, data included all CVP insertions and concerned the insertion process, monitoring, and traceability.Results. Of the 511 CVP insertion procedures observed; 81.4% were inserted by male providers and 97.4% by nursing staff. There was no immediate removal of the mandrel or antisepsis during handling. There was no traceability of the insertion, monitoring, and removal of peripheral venous catheters.Conclusion. It is necessary to implement protocols for insertion, removal, manipulation, and monitoring of peripheral venous catheters in order to improve the quality of care and patient safety.

Additional file 1: Table S1. PMTCT Medicine and commodities domain availability according to the characteristics of health facilities.

Introduction: This study evaluated the application of infection prevention and control (ICP) measures by midwives in the delivery rooms and maternity suites at the five district hospitals in the Region of Hauts Bassins, Burkina Faso. Methods: This was a cross-sectional study conducted from 02 August 2015 to 12 June 2016. The data collected were: socio-professional characteristics, knowledge of ICP, attitudes towards handwashing, ICP practices, and service organization. Results: Of the 65 agents surveyed, 60.0% were untrained about ICP after basic training, and 78.5% with no supervision for at least four years. The scores were : knowledge (64.7%), attitude (68.1%), domains of practice (

OBJECTIVE: To evaluate the impact of Performance-Based Financing (PBF) on effective coverage of child curative health services in primary healthcare facilities in Burkina Faso. METHODS: An impact evaluation of a PBF pilot programme, using an experiment nested within a quasi-experimental design, was carried out in 12 intervention and 12 comparison districts in six regions of Burkina Faso. Across the 24 districts, primary healthcare facilities (537 both at baseline and endline) and households (baseline = 7978 endline = 7898) were surveyed. Within these households, 12 350 and 15 021 under-five-year-olds caretakers were interviewed at baseline and endline respectively. Linking service quality to service utilisation, we used difference-in-differences to estimate the impact of PBF on effective coverage of curative child health services. RESULTS: Our study failed to detect any effect of PBF on effective coverage. Looking specifically into quality of care indicators, we detected a positive effect of PBF on structural elements of quality of care related to general service readiness, but not on the overall facility quality score, capturing both service readiness and the content of childcare. CONCLUSION: The current study makes a unique contribution to PBF literature, as this is the first study assessing PBF impact on effective coverage for curative child health services in low-income settings. The absence of any significant effects of PBF on effective coverage suggests that PBF programmes require a stronger design focus on quality of care elements especially when implemented in a context of free healthcare policy.

OBJECTIVE: Non-communicable diseases are rapidly becoming one of the leading causes of morbidity and mortality in sub-Saharan Africa. Yet, little is known about patterns of healthcare seeking among people with chronic conditions in these settings. We aimed to explore determinants of healthcare seeking among people who reported at least one chronic condition in rural Burkina Faso. METHODS: Data were drawn from a cross-sectional population-based survey conducted across 24 districts on 52 562 individuals from March to June 2017. We used multinomial logistic regression to assess factors associated with seeking care at a formal provider (facility-based care) or at an informal provider (home and traditional treatment) compared to no care. RESULTS: 1124 individuals (2% of all respondents) reported at least one chronic condition. Among those, 22.8% reported formal care use, 10.6% informal care use, and 66.6% no care. The presence of other household members reporting a chronic condition (RRR = 0.57, 95%-CI [0.39, 0.82]) was negatively associated with seeking formal care. Wealthier households (RRR = 2.14, 95%-CI [1.26, 3.64]), perceived illness severity (RRR = 3.23, 95%-CI [2.22, 4.70]) and suffering from major chronic conditions (RRR = 1.54, 95%-CI [1.13, 2.11]) were positively associated with seeking formal care. CONCLUSION: Only a minority of individuals with chronic conditions sought formal care, with important differences due to socio-economic status. Policies and interventions aimed at increasing the availability and affordability of services for early detection and management in peripheral settings should be prioritised.

BACKGROUND: As countries reform health financing systems towards universal health coverage, increasing concerns emerge on the need to ensure inclusion of the most vulnerable segments of society, working to counteract existing inequities in service coverage. To this end, selected countries in sub-Saharan Africa have decided to couple performance-based financing (PBF) with demand-side equity measures. Still, evidence on the equity impacts of these more complex PBF models is largely lacking. We aimed at filling this gap in knowledge by assessing the equity impact of PBF combined with equity measures on utilization of maternal health services in Burkina Faso. METHODS: Our study took place in 24 districts in rural Burkina Faso. We implemented an experimental design (clusterrandomized trial) nested within a quasi-experimental one (pre- and post-test design with independent controls). Our analysis relied on self-reported data on pregnancy history from 9999 (baseline) and 11 010 (endline) women of reproductive age (15-49 years) on use of maternal healthcare and reproductive health services, and estimated effects using a difference-in-differences (DID) approach, purposely focused on identifying program effects among the poorest wealth quintile. RESULTS: PBF improved the utilization of few selected maternal health services compared to status quo service provision. These benefits, however, were not accrued by the poorest 20%, but rather by the other quintiles. PBF combined with equity measures did not produce better or more equitable results than standard PBF, with specific differences only on selected outcomes. CONCLUSION: Our findings challenge the notion that implementing equity measures alongside PBF is sufficient to produce an equitable distribution in program benefits and point at the need to identify more innovative and contextsensitive measures to ensure adequate access to care for the poorest. Our findings also highlight the importance of considering changing policy environments and the need to assess interferences across policies.

L’objectif de cette recherche était d’étudier l’incidence et les facteurs de risque de survenue de complications du cathétérisme veineux périphérique (CVP) chez les patients dans les services des urgences médicale et chirurgicale du Centre hospitalier universitaire Souro Sanou de Bobo Dioulasso. Il s’est agi d’une étude transversale à visée analytique qui s’est déroulée du 4 juin au 3 novembre 2018. Il a été calculé l’incidence et identifié les facteurs de risque de survenue des complications. Des 511 patients inclus dans l’étude, la moyenne d’âge était de 44,7 (95%IC : 43,1 - 46,3) ans. Aussi, 43,1% (95%IC: 39,0 % – 47,0 %) soit 220 des 511 patients ont développé une complication. Les complications étaient : phlébites (29,2%), infiltrations (7,8%), retraits accidentels (4,1%), et extravasations (1,9%). Les facteurs de risque liés à la survenue de complications étaient : sexe des patients, durée du cathétérisme, lavage simple ou friction avec une solution hydroalcoolique des mains, et utilisation d’antibiotiques en thérapie intraveineuse. Pour réduire le risque de complications, il faut respecter les règles de prévention contre les infections, la durée du cathétérisme, les précautions à l’utilisation des antibiotiques en thérapie intraveineuse, surveillance plus minutieuse chez les patientes, et sensibiliser les prestataires hommes.Mots-clés: cathétérisme veineux périphérique, complications, facteurs, contrôle des infections, qualité des soins, management des casEnglish Title: Offering quality care: Factors contributing to the occurrence of complications during the periphéral venous catheterism in the National teaching hospital Souro Sanou of Bobo-Dioulasso, Burkina FasoEnglish AbstractThe objective of this study was to assess the incidence and risk factors for complications of peripheral venous catheterism (PVC) complications in the management of patients from the medical and surgical emergency departments of the National teaching hospital Souro Sanou in Bobo-Dioulasso. This was a cross-sectional study that took place from June 4 to November 3, 2018. The incidence was calculated and risk factors for complications were identified. Of the 511 patients included in the study, the average age was 44.7 (95%IC: 43.1 - 46.3) years-old. Also, 43.1% (CI95%: 39.0% - 47.0%) 220 of the 511 patients developed a complication.. Complications were: phlebitis (29.2%), infiltrations (7.8%), accidental withdrawals (4.1%), and extravasations (1.9%). Risk factors for complications following PVC included: gender of patients, duration of catheterization, simple washing or friction with hydroalcoholic hand solution, and use of antibiotics in intravenous therapy. To reduce the risk of complications during PVC, there is a need to respect: infection prevention rules, length of catheterism, precautions for using antibiotics in intravenous therapy, more careful monitoring of female patients, and sensitize male health workers.Keywords: peripheral venous catheterism, complications, factors, infection control, care quality, case management