Burkina Faso health system
Structure
3 sectors: public sub-sector, private sub-sector and traditional sub-sector:
Public sub-sector:
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Health districts:
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First level of contact:
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1,606 health and social promotion centres, 123 isolated clinics, 14 isolated maternity clinics and 32 medical centres
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Minimum package of activities (including malaria)
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Second level: 45 district referral hospitals/medical centres with surgical units
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Regional level
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Hospitals (9)
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Referral level facilities for district level
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National level
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University hospitals (3), national hospital
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Referral level facilities for regional level
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Medical training and research
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Laboratory network at 120 facilities at all levels
Private Sector
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2013: 78 private healthcare facilities providing hospital care
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306 private healthcare facilities providing non-hospital care
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693 private dispensing pharmacies and drug stores
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Mostly in Ouagadougou and Bobo-Dioulasso
Traditional medicine sector
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MoH recommends that serious cases of illness seen by these practitioners be referred to healthcare facilities
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Practitioners will be trained to recognize signs of severe malaria (funded by the state budget)
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- Traditional medicine sector is gradually being incorporated into the health system under the Directorate for Medicine and Traditional Medicine at the MoH.
- Government budget will support training of traditional medicine practitioners to recognize signs of severe malaria and to refer these cases to the appropriate health facility.
Challenges
Case Management
- Rectal artesunate not included in pre-referral guidelines
Quality of health information system
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Data quality and completeness
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Delayed transmission
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Excessive workload due to the large number of data collection tools
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No data on consumption, number of people reached by awareness-raising activities and community data
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Parallel information system results in duplicate, inconsistent information
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Input management
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Procurement
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Late deliveries, cumbersome procedures, tight stock levels, lack of financial resources
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Leads to nationwide stock-outs.
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Storage
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Storage and distribution limitations
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Delivery delays and/or over-stocking
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Negotiations under way with partners and central purchasing office for essential generic drugs and medical consumables to integrate all products into the national drug distribution system
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Distribution
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Procurement challenges
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Lack of coordination
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Human resources
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Human capacity constraints
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Mobile populations lead to delays and shortcomings in implementing activities
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Supervision of community level workers