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Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?

In Africa, health systems are often not very responsive. Their resilience is often tested by health or geopolitical crises. The Ebola epidemic, for instance, exposed the fragility of health systems, and recent terrorist attacks have required countries to respond to urgent situations. Up until 2014,...

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Detalles Bibliográficos
Autores principales: Ridde, Valéry, Lechat, Lucie, Meda, Ivlabehire Bertrand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5321324/
https://www.ncbi.nlm.nih.gov/pubmed/28588927
http://dx.doi.org/10.1136/bmjgh-2016-000056
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author Ridde, Valéry
Lechat, Lucie
Meda, Ivlabehire Bertrand
author_facet Ridde, Valéry
Lechat, Lucie
Meda, Ivlabehire Bertrand
author_sort Ridde, Valéry
collection PubMed
description In Africa, health systems are often not very responsive. Their resilience is often tested by health or geopolitical crises. The Ebola epidemic, for instance, exposed the fragility of health systems, and recent terrorist attacks have required countries to respond to urgent situations. Up until 2014, Burkina Faso's health system strongly resisted these pressures and reforms had always been minor. However, since late 2014, Burkina Faso has had to contend with several unprecedented crises. In October 2014, there was a popular insurrection. Then, in September 2015, the Security Regiment of the deposed president attempted a coup d’état. Finally, on 15 January 2016, a terrorist attack occurred in the capital, Ouagadougou. These events involved significant human injury and casualties. In these crises, the Burkinabè health system was sorely tried, testing its responsiveness, resiliency and adaptability. We describe the management of the recent terrorist attack from the standpoint of health system resilience. It would appear that the multiple crises that had occurred within the previous 2 years led to appropriate management of that terrorist attack thanks to the rapid mobilisation of personnel and good communication between centres. For example, the health system had put in place a committee and an emergency response plan, adapted blood bank services and psychology services, and made healthcare free for victims. Nevertheless, the system encountered several challenges, including the development of framework documents for resources (financial, material and human) and their use and coordination in crisis situations.
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spelling pubmed-53213242017-06-06 Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system? Ridde, Valéry Lechat, Lucie Meda, Ivlabehire Bertrand BMJ Glob Health Analysis In Africa, health systems are often not very responsive. Their resilience is often tested by health or geopolitical crises. The Ebola epidemic, for instance, exposed the fragility of health systems, and recent terrorist attacks have required countries to respond to urgent situations. Up until 2014, Burkina Faso's health system strongly resisted these pressures and reforms had always been minor. However, since late 2014, Burkina Faso has had to contend with several unprecedented crises. In October 2014, there was a popular insurrection. Then, in September 2015, the Security Regiment of the deposed president attempted a coup d’état. Finally, on 15 January 2016, a terrorist attack occurred in the capital, Ouagadougou. These events involved significant human injury and casualties. In these crises, the Burkinabè health system was sorely tried, testing its responsiveness, resiliency and adaptability. We describe the management of the recent terrorist attack from the standpoint of health system resilience. It would appear that the multiple crises that had occurred within the previous 2 years led to appropriate management of that terrorist attack thanks to the rapid mobilisation of personnel and good communication between centres. For example, the health system had put in place a committee and an emergency response plan, adapted blood bank services and psychology services, and made healthcare free for victims. Nevertheless, the system encountered several challenges, including the development of framework documents for resources (financial, material and human) and their use and coordination in crisis situations. BMJ Publishing Group 2016-07-07 /pmc/articles/PMC5321324/ /pubmed/28588927 http://dx.doi.org/10.1136/bmjgh-2016-000056 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Analysis
Ridde, Valéry
Lechat, Lucie
Meda, Ivlabehire Bertrand
Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?
title Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?
title_full Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?
title_fullStr Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?
title_full_unstemmed Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?
title_short Terrorist attack of 15 January 2016 in Ouagadougou: how resilient was Burkina Faso's health system?
title_sort terrorist attack of 15 january 2016 in ouagadougou: how resilient was burkina faso's health system?
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5321324/
https://www.ncbi.nlm.nih.gov/pubmed/28588927
http://dx.doi.org/10.1136/bmjgh-2016-000056
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