Abstract
BackgroundBurkina Faso has undertaken major reforms, the cornerstone of which has been the decentralization of the health system to increase access to primary healthcare and to increase the effectiveness, efficiency, financial viability and equity of health services. This study aims to analyze the socio-demographic determinants of households’ access to healthcare in Burkina Faso.MethodsWe used data from a national household survey conducted in 2014 in Burkina Faso. We carried out binary logistic and linear regression analysis using data from a national household survey. The statistical analysis explored the associations between socio-demographic characteristics on the one side, and the use of health services, satisfaction with health services and expenditures on health services, on the other side.ResultsThe findings indicate an association between age, education, income and use of services (p < 0.0005). The results show that healthcare users’ satisfaction is influenced by age, the association is stronger with the age group under 24 (p < 0.0005) than the age group of 25–39 (p < 0.005). An association was found between the age group under 15 (p < 0.005), the type of health facility used (p < 0.0005), the distance traveled to health facilities (p < 0.005) and households’ individuals’ health expenditure.ConclusionSpecific policies are needed to enhance geographical access to healthcare, financial access to and satisfaction with healthcare in moving towards universal health coverage (UHC).
Highlights
Le Burkina Faso a entrepris des réformes majeures dans le domaine de la santé dont l’une des pierres angulaires a été la décentralisation du système de santé en vue d’accroître l’accès aux soins de santé primaire et d’améliorer l’efficience, l’efficacité, la viabilité financière et l’équité des services de santé
The results indicate a strong association between all age groups and the use of services (p < 0.0005), which decreases with an increase in age, showing that young individuals are the largest healthcare consumers
The satisfaction rates that we find are higher than those reported by another study on the quality of care of modern health services in Burkina Faso, which showed that 82.7% of users were satisfied with the way the medical doctors examined them (Baltussen & Ye, [3])
Summary
Le Burkina Faso a entrepris des réformes majeures dans le domaine de la santé dont l’une des pierres angulaires a été la décentralisation du système de santé en vue d’accroître l’accès aux soins de santé primaire et d’améliorer l’efficience, l’efficacité, la viabilité financière et l’équité des services de santé. Based on the Alma Ata declaration and the related policy momentum, several sub-Saharan African countries, including Burkina Faso, launched health system reforms aimed at operationalizing the declaration’s recommendations to improve access to healthcare for all citizens [31]. In some of these countries, the reforms were part of the wider macroeconomic policy and implementation of structural adjustment programs, which required control of public expenditure as well as changes in public and private sector institutional structures [11]
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