[Poliomyelitis case surveillance data management in Burkina Faso]. / Gestion de l’'information au cours de la surveillance des Paralysies Flasques Aiguës au Burkina Faso.

INTRODUCTION: The global initiative for poliomyelitis eradication can only remain relevant if survey systems are regularly assessed. In order to identify shortcomings and to propose improvement, the data collection and transmission during case investigation were assessed in the Banfora health district in Burkina Faso. METHODS: The survey targeted six (6) primary health centres, the district laboratory and the national laboratory, all involved in the poliomyelitis surveillance system. Data from registers, forms documenting suspected cases, stool sample forms and weekly reports were collected by means of a data grid. Data from actors involved in the poliomyelitis case investigation system were collected by means of an individual questionnaire. RESULTS: The reactivity of investigating suspected cases was satisfactory with a median alert questionnaire notification time of 18 hours. The completeness of the reporting system was satisfactory. Nevertheless, the promptness of data management by primary heath centres and the national laboratory remained unsatisfactory. Evaluation of data management revealed logistic and organization shortcomings. CONCLUSION: The overall efficacy of the poliomyelitis surveillance could be improved by using management tools for laboratory supplies, collecting data related to the homes of suspected cases and implementing a cold chain maintenance plan.

[Satisfaction of AIDS patients managed in Dafra district hospital: an overview]. / Satisfaction des malades du sida pris en charge à l’hôpital du district sanitaire de Dafra. État des lieux.

INTRODUCTION: Assessment of patient satisfaction is an essential tool for continuing improvement of health services. OBJECTIVE: In order to more clearly define what has been achieved and what remains to be achieved, from the patient's perspective, the level of satisfaction of AIDS patients managed at Dafra district hospital was assessed. METHODS: This cross-sectional study was based on data from Individual interviews conducted with patients on ARV therapy forat least six months on 1st April2014. Erin's multiattribute modelwas used to identify the content of the data collection. RESULTS: Patients were relatively satisfied with the comfort and the fact that some of their expectations were taken into account, such as nutritional support,free drug prescriptions and measurement of body temperature and blood pressure. However, they expressed complaints concerning the promptness of services, the courtesy of healthcare providers, confidentiality and questioned the skills ofhealthcare providers. CONCLUSION: The provision of good quality health care for AIDS patients in the Dafra health district requires permanent review of healthcare provider practices. Improvements are needed in terms of promptness of services, courtesy and confidentiality. Health care teams must take the sociocultural background of healthcare providers into account in order to develop, test and evaluate appropriate solutions.

[Malaria prevention practices in peri-urban zones of two health districts of Burkina Faso]. / Pratiques de prévention antipaludique dans les zones périurbaines de deux districts sanitaires du Burkina Faso.

INTRODUCTION: Malaria prevention constitutes a key strategy to control this disease in Burkina Faso. METHODS: A cross-sectional study conducted in July and August 2011, assessed malaria prevention practices of populations of peri-urban zones of the Bogodogo and Boulmiougou health districts of the city of Ouagadougou. RESULTS: A total of 180 household heads, 192 mothers of children under the age of 5 years and 30 pregnant women were surveyed. For 86.7% household heads, 92% of mothers of children under the age of five years and 96.5% of pregnant women, mosquito bites represented the main mode of transmission of malaria. The majority of survey subjects reported a preference for mosquito coils rather than mosquito nets on the night preceding the survey. DISCUSSION: The content of malaria prevention communication must take into account sociodemographic realities and lifestyles of population groups, such as those living in peri-urban regions.

[Evaluation of free cesarean sections in Benin]. / Evaluation de la mise en oeuvre de la gratuité de la césarienne au Béenin.

INTRODUCTION: The Benin Government introduced free caesarean section in public hospitals in 2009 and a national agency was created to manage free caesarean section. METHODS: Three years after introduction of free caesarean section, we evaluated this measure in the Ouidah hospital area (HZO) by analysing the hospital structure, the implementation process and the results. RESULTS: This study showed the efficacy of free caesarean section, which has helped to increase the caesarean rate from 2.38% in 2009 to 3.48% in 2012, a caesarean section mortality rate of 0.99%, insufficient information for beneficiaries, some drugs are not covered by this measure, and additional costs must be paid by beneficiaries. DISCUSSION: These results indicate the need for a detailed cost analysis to adjust the unit cost for caesarean section. This type of evaluation should be performed in all public hospitals in the country to more clearly identify malfunctions.