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Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey

BACKGROUND: Burkina 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...

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Autores principales: Zon, Hilaire, Pavlova, Milena, Groot, Wim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885251/
https://www.ncbi.nlm.nih.gov/pubmed/33588836
http://dx.doi.org/10.1186/s12913-021-06145-5
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author Zon, Hilaire
Pavlova, Milena
Groot, Wim
author_facet Zon, Hilaire
Pavlova, Milena
Groot, Wim
author_sort Zon, Hilaire
collection PubMed
description BACKGROUND: Burkina 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. METHODS: We 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. RESULTS: The 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. CONCLUSION: Specific policies are needed to enhance geographical access to healthcare, financial access to and satisfaction with healthcare in moving towards universal health coverage (UHC). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06145-5.
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spelling pubmed-78852512021-02-17 Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey Zon, Hilaire Pavlova, Milena Groot, Wim BMC Health Serv Res Research Article BACKGROUND: Burkina 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. METHODS: We 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. RESULTS: The 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. CONCLUSION: Specific policies are needed to enhance geographical access to healthcare, financial access to and satisfaction with healthcare in moving towards universal health coverage (UHC). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06145-5. BioMed Central 2021-02-15 /pmc/articles/PMC7885251/ /pubmed/33588836 http://dx.doi.org/10.1186/s12913-021-06145-5 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Zon, Hilaire
Pavlova, Milena
Groot, Wim
Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
title Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
title_full Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
title_fullStr Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
title_full_unstemmed Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
title_short Factors associated with access to healthcare in Burkina Faso: evidence from a national household survey
title_sort factors associated with access to healthcare in burkina faso: evidence from a national household survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885251/
https://www.ncbi.nlm.nih.gov/pubmed/33588836
http://dx.doi.org/10.1186/s12913-021-06145-5
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