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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 2012 Sep 1;103(Suppl 1):S20–S25. [Article in French] doi: 10.1007/BF03404455

Les interventions de subvention du paiement des soins renforcent l’empowerment des communautés au Burkina Faso

Oumar M Samb 15,✉, Valéry Ridde 15,25
PMCID: PMC6973747  PMID: 23618044

Abstract

Objective: This research project assesses the impact of care subsidy interventions on the empowerment of members of community health services Management Committees (MCs) and their organization in Burkina Faso.

Participants: The data collection took place in 2010 in 8 primary care centres over 6 months with 140 people.

Location: Three health districts of Burkina Faso (Dori, Sebba and Ouargaye).

Intervention: Since 2006, the government subsidizes 80% of emergency neonatal and obstetrical costs for pregnant women. Since 2008, an NGO assumes the remaining 20% and subsidizes 100% of health care costs for children under 5 in Dori and Sebba. In addition, a payment exemption strategy for indigents has been organized at the community level in all three districts.

Results: Interventions have strengthened MC members’ and their organization’s power to act. This has translated into an increased capacity to get involved in the resolution of health problems within the community. The NGO’s intervention specifically in Dori and Sebba has led to even greater empowerment there than in Ouargaye.

Conclusion: Subsidizing care payments at points of service significantly enhances the potential for increasing the empowerment of MC members and their organization.

Key words: Exemption, direct payment, Burkina Faso, empowerment, social impacts, community, power to act

Footnotes

Sources de financement: Cette recherche a été financée grâce à une bourse doctorale obtenue dans le cadre du programme Population et santé en Afrique (PPSA), financée par la fondation Bill et Melinda Gates. Elle a aussi bénéficié du soutien du Programme de recherche ªL’abolition du paiement des services de santé en Afrique de l’Ouest«, codirigé par le Lasdel (Niger) et l’Université de Montréal (Canada), financé par l’AFD et le CRDI. Valéry Ridde est New Investigator (nouveau chercheur) des IRSC.

Remerciements: Nous remercions les personnes interrogées dans le cadre de cette recherche, nos enquêteurs, le personnel de l’ONG Help, ainsi que toutes les personnes qui ont contribué à la réalisation de l’enquête de terrain.

Conflit d’intérêts: Aucun à déclarer.

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