The impact of targeted subsidies for facility-based delivery on access to care and equity Evidence from a population-based study in rural Burkina Faso
We conducted the first population-based impact assessment of a financing policy introduced in Burkina Faso in 2007 on women’s access to delivery services. The policy offers an 80 per cent subsidy for facility-based delivery. We collected information on delivery in five repeated cross-sectional surveys carried out from 2006 to 2010 on a representative sample of […]
Guidelines for maternal and neonatal “point of care”: Needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso
Background: In 2010, 245,000 women died due to pregnancy-related causes in sub-Saharan Africa and southern Asia. Our study is nested into the QUALMAT project and seeks to improve the quality of maternal care services through the introduction of a computerized clinical decision support system (CDSS) to help healthcare workers in rural areas. Healthcare information technology […]
Improving poor women’s access to maternity care: Findings from a primary care intervention in Burkina Faso
To date, there has been little progress in reducing wealth inequities in access to maternity care. This paper describes the results of a maternal health intervention in Burkina Faso that was aimed at increasing access to skilled maternity care by improving availability and quality of maternity care, particularly at primary care health facilities, and promoting […]
Quality of antenatal care predicts retention in skilled birth attendance: A multilevel analysis of 28 African countries
Background: An effective continuum of maternal care ensures that mothers receive essential health packages from pre-pregnancy to delivery, and postnatally, reducing the risk of maternal death. However, across Africa, coverage of skilled birth attendance is lower than coverage for antenatal care, indicating mothers are not retained in the continuum between antenatal care and delivery. This […]
Effects of multiannual, seasonal unconditional cash transfers on food security and dietary diversity in rural Burkina Faso: The Moderate Acute Malnutrition Out (MAM’Out) cluster-randomized controlled trial
Objective To evaluate the impact of multiannual, seasonal unconditional cash transfers (UCT) provided within the Moderate Acute Malnutrition Out (MAM’Out) research project on households’ food security and children’s and caregivers’ dietary diversity.Design A two-arm cluster-randomized controlled trial with sixteen villages in the intervention group and sixteen others in the control group. A monthly allowance of […]
‘Men are not playing their roles’, maternal and child nutrition in Nanoro, Burkina Faso
Objective: To collect context-specific insights into maternal and child health and nutrition issues, and to explore potential solutions in Nanoro, Burkina Faso. Design: Eleven focus groups with men and women from eleven communities, facilitated by local researchers. Setting: The study took place in the Nanoro Health district, in the West-Central part of Burkina Faso. Participants: […]
Access to skilled attendant at birth and the coverage of the third dose of diphtheria-tetanus-pertussis vaccine across 14 West African countries – An equity analysis
Background: Universal Health Coverage (UHC) remains a critical public health goal that continues to elude many countries of the global south. As countries strive for its attainment, it is important to track progress in various subregions of the world to understand current levels and mechanisms of progress for shared learning. Our aim was to compare […]
Quality cesarean delivery in Ouagadougou, Burkina Faso: A comprehensive approach
Objective: To assess the effects of a comprehensive intervention (staff training, equipment, internal clinical audits, cost sharing system, patients-providers meetings) in improving cesarean delivery access and quality in an urban district of Burkina Faso. Methods: We conducted a before-after study in the health district sector 30 in Ouagadougou between 2003 and 2006. We measured cesarean […]
The role of transportation to access maternal care services for women in rural Bangladesh and Burkina Faso: A mixed methods study
Objective To understand the role of transportation in accessing health care during pregnancy, delivery, and the postpartum period among women in rural Bangladesh and Burkina Faso. Methods An exploratory mixed methods study was conducted in Mymensingh district in Bangladesh and Kaya district in Burkina Faso. We recruited 300 women from Bangladesh and 340 from Burkina […]
Assessing the impact of geographical access to health facilities on maternal healthcare utilization: Evidence from the Burkina Faso demographic and health survey 2010
Background: Improving maternal and child health (MCH) remains a serious challenge for many developing countries. Geographical accessibility from a residence to the nearest health facility is suspected to be an important obstacle hampering the use of appropriate services for MCH especially in Sub-Sharan African countries. In Burkina Faso, a landlocked country in the Sahel region […]