Cost-Effectiveness Analysis of Community Case Management of Childhood Diarrhea in Burundi

Niyibitegeka, Fulgence; Riewpaiboon, Arthorn; Sangroongruangsri, Sermsiri

doi:10.1016/j.vhri.2021.03.005

Cited by 1 publication

(2 citation statements)

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“…Based on the difference in trends in the annual incidence of malaria among children under ve bene ting from the free health care measure in the two health districts, we could say that full application of the iCCM has made it possible to contain expenditure on free health care in Boussouma district. Although our data do not allow us to make such a hypothesis for the bene ts of effective community management of diarrhea and pneumonia, this cost-bene t ratio for diarrhea and pneumonia has been demonstrated in Burundi [34] and Kenya [37].…”

Section: Using Health Servicescontrasting

confidence: 56%

“…According to health center managers, communitybased diarrhea and pneumonia management coverage was insu cient in both districts by 2023. These delays in implementation have had a negative impact on the communities that could have bene ted from these services, which, according to Niyibitegeka et al [34] are highly costeffective in Burundi for the community management of diarrhea and pneumonia respectively.…”

Section: Using Health Servicesmentioning

confidence: 99%

See 1 more Smart Citation

Performance in community-based management of childhood illnesses and factors associated with its effective implementation in Burkina Faso

OUEDRAOGO,

Kaboré,

Traore

et al. 2024

Preprint

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Background Burkina Faso gives high priority to improving maternal and child health. Several community interventions have been developed following the adoption of primary health care. Following the adoption of free community care services and the recruitment of community health workers to strengthen community management of childhood illnesses, we conducted a formative performance evaluation and a search for factors associated with its effective application. Methods We conducted a descriptive and analytical cross-sectional study using data collected from March 19 to 30, 2023 and January 12 to 30, 2024 in the health districts of Boussé and Boussouma in Burkina Faso through a survey, focus groups and a literature review, then analyzed with SPSS 25 and Nvivo. Results Community management of childhood illnesses is implemented in various ways in different health districts. Data from 2017 to 2022 clearly shows that the proportion of malaria cases confirmed with rapid diagnostic tests and treated at community level has evolved globally. On the other hand, management of diarrhea and pneumonia is inadequate. Factors such as the health district of origin, difficulties faced in transporting inputs and the regularity of Community based health workers premium payments determines significantly the availability of curative care in the community. Conclusions Despite the measures to provide free care and recruit CBHWs to support the implementation of the Community Integrated Management of Childhood Illness, health facility adherence and a number of other essential factors are hampering the availability of basic care in the desired community. There is an inequity of access to community health care reducing the impact of free health care and the recruitment of community-based health workers on certain populations. Trial registration This study used data generated by the system. Surveys and data extraction were carried out after obtaining authorization from the Ministry of Health's Health Research Ethics Committee.

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Section: Using Health Servicescontrasting

confidence: 56%

Section: Using Health Servicesmentioning

confidence: 99%