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Evaluation de la stratégie des cliniques mobiles en situation d'urgence dans les régions du Sahel et du centre Nord au Burkina Faso (2020-2021)

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Ouedraogo, Jean-Marie ULiège
Promotor(s) : Ozer, Pierre ULiège
Date of defense : 6-Sep-2021/7-Sep-2021 • Permalink : http://hdl.handle.net/2268.2/13316
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Title : Evaluation de la stratégie des cliniques mobiles en situation d'urgence dans les régions du Sahel et du centre Nord au Burkina Faso (2020-2021)
Author : Ouedraogo, Jean-Marie ULiège
Date of defense  : 6-Sep-2021/7-Sep-2021
Advisor(s) : Ozer, Pierre ULiège
Committee's member(s) : De longueville, Florence 
Thiry, Aline ULiège
Language : French
Number of pages : 72
Keywords : [en] Evaluation, mobile clinics, North Center and Sahel regions, Burkina Faso year 2020-2021.
Discipline(s) : Life sciences > Environmental sciences & ecology
Funders : ARES
Research unit : CENTRE DES OPERATIONS DE REPONSE AUX URGENCES SANITAIRES (CORUS)
Name of the research project : EVALUATION DE LA STRATEGIE DES CLINIQUES MOBILES EN SITUATION D’URGENCE DANS LES REGIONS DU SAHEL ET DU CENTRE NORD AU BURKINA FASO (2020-2021).
Target public : Researchers
Professionals of domain
Student
General public
Institution(s) : Université de Liège, Liège, Belgique
Degree: Master de spécialisation en gestion des risques et des catastrophes
Faculty: Master thesis of the Faculté des Sciences

Abstract

[en] Introduction : In Burkina Faso, the health system at the national and regional level is severely tested in the face of terrorism and inter-community conflicts which further complicate an already existing structural health crisis. This structural health crisis is mainly linked to geographic barriers (distance between the place of residence and a health structure), the lack of human resources in health structures and the financial burden of care for a population in a precarious situation. The health system is then put to the test to ensure the already insufficient supply of care and the mobile clinics entered into the idea of meeting the health needs of the population in areas with precarious security and in localities housing people internally displaced persons. This strategy has been especially developed in the Sahel and Center-North regions. These two regions are experiencing a lot of terrorist attacks with more displacement of populations and more health facilities closed or operating at a minimum. As of July 31, 2021, there were 976,733 internally displaced persons (IDPs) in the two regions, i.e. 71.39% of all IDPs in Burkina Faso [7] with 57 FS closed as of February 2021 according to the Ministry of Health (Health cluster bulletin, February 2021) [3].
Objective : Evaluate the strategy of mobile clinics in emergency situations in the Sahel and Center-North regions of Burkina Faso.
Methodology : An assessment mission made up of two teams took place in the health districts of Dori and Djibo for the Sahel region and in the health districts of Kaya, Barsalogho and Tougouri for the North Center region. We carried out work and discussion sessions with the local health authorities, the health personnel of the mobile clinics and the users of these services as well as field visits which made it possible to observe the operation, to understand the progress of the procedures ongoing activities of the mobile clinic approach in the two regions.
Findings and comments : In general, the advanced strategy has always existed in Burkina Faso in the traditional system. However, the package of activities provided during these outings was essentially immunization, family planning and nutrition activities ; the provision of primary health care added to meet the current needs of populations prey to insecurity.
Of all the health districts visited, the complete absence of data concerning the strategy of mobile clinics was noted. No capitalization on the mobile clinical activities already carried out is made. Most of the CISSE officials from the different districts tell us that the data from the mobile clinics are directly integrated into the ordinary data of the health facility where the strategy is being carried out. It also emerges that the financing of mobile clinics remains entirely dependent on technical and financial partners. In the 5 health districts concerned by the evaluation, there is no staff dedicated to the mobile clinic activity, therefore no formal process for recruiting staff to work in the mobile clinics. The analysis of the effectiveness of the mobile clinic strategy made it possible to identify the factors that influence the decision whether or not to use mobile clinics. However, for the effectiveness of mobile clinics to be expressed objectively, it will be necessary to strengthen the technical platform, the supervisory capacities of the actors leading community-based interventions and improve the composition of each team, especially in number for carrying out the activities.
Conclusion : We believe that a good orientation of the mobile clinic strategy as well as the effective involvement of all stakeholders jointly and permanently could improve the health system in these areas in difficulty in terms of health due to the precarious security context.


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Author

  • Ouedraogo, Jean-Marie ULiège Université de Liège > Mast. spéc. gest. risq. catas.

Promotor(s)

Committee's member(s)

  • De longueville, Florence Université de Namur
  • Thiry, Aline ULiège Université de Liège - ULiège > Département de science politique > Gouvernance et société
    ORBi View his publications on ORBi
  • Total number of views 141
  • Total number of downloads 498










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