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6. Coverage of seasonal malaria chemoprevention in children aged 3 to 59 months in Burkina Faso: a nationwide cross-sectional study

Author

Ly, Antarou, Lanou, Hermann Biénou, Moyenga, Laurent, and Drabo, Maxime Koiné

Abstract

Aim: The objective of this study was to investigate seasonal malaria chemoprevention (SMC) coverage during the 2018 campaign and to identify factors associated with full coverage (receiving three doses of SMC four times during a campaign) of children aged 3 to 59 months. Subject and methods: This was a cross-sectional study conducted in nine regions of Burkina Faso. In each region, we purposely selected districts based on the epidemiological profile and randomly selected villages within each district. The World Health Organization (WHO) Expanded Programme on Immunization (EPI) method was used in the household selection process. A generalized linear mixed model (GLMM) was used to account for the hierarchical structure of the design and to identify factors associated with full SMC coverage. Results: Our results showed that community distributors (CDs) visited more than 98% of the selected households, and 95.9% of the children received three doses of SMC in the last round in October 2018. Furthermore, 84.8% of children were fully covered after having received all three doses of SMC during four campaigns by the end of 2018. The age of the children and the occupation of the respondent were factors significantly associated with complete SMC coverage. Conclusion: Full coverage of SMC among children aged 3 to 59 months remained below the expected coverage by the Burkina Faso Ministry of Health. It will be up to the Ministry of Health to strengthen the system for monitoring SMC activities.

Published
2024
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10. Assessment of Staffing Needs for Frontline Health Workers in Selected Maternal and Child Health Services in 3 Countries of Sub-Saharan West Africa: Cote d'Ivoire, Burkina Faso, and Niger.

Author

Kpebo, Denise, Ly, Antarou, Yameogo, Wambi Maurice Evariste, Bijou, Sujata, Bertrand Ivlabèhirè, Meda, Tougri, Halima, Ndour, Marguerite, Tetchi, Orsot, Sablé, Stéphane Parfait, and Kouanda, Seni

Abstract

Sub-Saharan African countries health systems are generally faced with shortages and inequitable distribution of qualified health workers. The application of provider-population ratio or fixed staff establishments, not considering variation in workload, given contextual variations in service utilization rates, cannot adequately match the human resource needs of different health facilities. The Workload Indicators of Staffing Need (WISN) method uses workload to determine staffing needs in a given facility. The aim of this study was to assess the current workload and staffing needs of maternal and child health services in 12 primary healthcare facilities from Burkina Faso, Niger, and Cote d'Ivoire. We employed the WISN methodology, using document reviews, in-depth interviews with health providers, and observations, to obtain the data needed for estimating the required number of staff in a given facility. Then, we calculated both the WISN difference (current−required staff), and the WISN ratio (current staff/required staff). Using the WISN ratio, we assessed the work pressure that health workers experience. The results showed a shortage of health workers in most services in Cote d'Ivoire and Niger (WISN ratio <1), in contrast to Burkina Faso where services were either adequately staffed or overstaffed (WISN ratio ⩾1). The workload pressure was generally high or very high in Cote d'Ivoire, while in Niger, it was very high in maternity services but rather low in dispensary ones. There was also a geographic discrepancy in health workers staffing, rural areas services being more understaffed, with a higher workload pressure as compared to urban areas ones. This study results strengthens the body of knowledge on the shortage of health workforce in sub-Saharan Africa French speaking countries. Policies and strategies to increase students training capacities and the application of regular WISN studies for a better staff distribution are necessary to address the human resource needs of health facilities in these countries. [ABSTRACT FROM AUTHOR]

Published
2022
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