Analyse de la performance d'un hôpital public à mode de gestion privée au Burkina Faso.

INTRODUCTION: Hospitals in Sub-Saharan Africa face many challenges. Burkina Faso has experimented a private operating system in a public hospital, in order to improve its performance. AIM: To assess the Tengandogo Teaching Hospital's (TTH's) performance in Ouagadougou. Burkina Faso. METHOD: We carried out a mixed-method cross-sectional study. We collected data in April 2017 using document review and quantitative data (key performance indicators), individual interviews with key informants. The analytical framework covered services continuity, health department efficiency and staff working environment safety. RESULTS: Our study findings indicated that the performance of TTH hospital is hampered by frequent shortages in medicine and medical consumables, deteriorating facilities, poor coordination of care and lack of data on patients and staff security. CONCLUSION: Private management of public hospitals is not sufficient to improve the performance of hospitals in Burkina Faso. More attention should be paid to improving supply management of medicine, consumables and ensuring a safe work environment for health workers.

[Performance analysis of a privately managed public hospital in Burkina Faso]. / Analyse de la performance d'un hôpital public à mode de gestion privée au Burkina Faso.

INTRODUCTION: Hospitals in Sub-Saharan Africa face many challenges. Burkina Faso has experimented a private operating system in a public hospital, in order to improve its performance. AIM: To assess the Tengandogo Teaching Hospital's (TTH's) performance in Ouagadougou. Burkina Faso. METHOD: We carried out a mixed-method cross-sectional study. We collected data in April 2017 using document review and quantitative data (key performance indicators), individual interviews with key informants. The analytical framework covered services continuity, health department efficiency and staff working environment safety. RESULTS: Our study findings indicated that the performance of TTH hospital is hampered by frequent shortages in medicine and medical consumables, deteriorating facilities, poor coordination of care and lack of data on patients and staff security. CONCLUSION: Private management of public hospitals is not sufficient to improve the performance of hospitals in Burkina Faso. More attention should be paid to improving supply management of medicine, consumables and ensuring a safe work environment for health workers.

Domestic Accidents of Children in the Orodara District of Burkina Faso: Mothers' Knowledge of First-Aid Practices.

First-aid practices after a domestic accident are not always known, especially in Africa. This study aimed to measure mothers' knowledge of emergency procedures and attitudes in the event of domestic accidents in children. We conducted a cross-sectional study in the Orodara health district, Kénédougou province, Burkina Faso, among mothers of children aged 0-14 years. The dependent variable was the mothers' knowledge of domestic accident first-aid practices, and the independent variables were the sociodemographic characteristics of the households and the mothers. Determinants were identified using linear regression with a threshold of 5%. A total of 798 mothers were surveyed. The mean knowledge score was 6.9 (standard deviation = 1.5) out of 19. Upon our multivariate analysis, the factors associated with the mothers' knowledge about first-aid practices were the mothers' age, the number of children under 14 years old living in the same household, the household size, the score for knowledge of non-recommended attitudes, the mothers' level of education, and the place of residence. This study showed that awareness campaigns, especially in rural areas, seem important in improving mothers' knowledge of first-aid practices in domestic accidents and, therefore, reducing the morbidity and mortality associated with domestic accidents.