Research and community-based interventions for health equity in Burkina Faso
Axis of research and intervention
Partners
First Québec cross-disciplinary group devoted to studying knowledge transfer (KT) in the field of social interventions, specifically with regard to educational, health and community services.
Canadian Institute of Health Research
Research and community-based interventions for health equity in Burkina Faso
This program takes place in Burkina Faso, given that the country is at the end of the classification of the Human Development Index – measured under the United Nations Program for Development (2010) – and its indicators of health and equity health are alarming. This suggests that the objectives of the Millennium Development Goals will not be achieved in 2015. However, the Commission on Social Determinants of Health of the World Health Organization (WHO), the World Bank and the Countdown to 2015 Core Group have provided an overview of theoretically effective interventions to improve health equity. In addition, a recent review shows that nearly 90% of interventions that follow a participatory and community process have beneficial effects on the population. However, if the content of these interventions is described in international reports, the conditions for their implementation and their effectiveness in natural experiments are still very poorly understood. Several meta-analyses show that the potential effectiveness of interventions is subjected to multiple reduction factors often exceeding 50%. This is especially true in Africa, where there is very little research on the subject. Furthermore, according to WHO, these interventions are rarely carried out in Burkina Faso.
The aim of the program is to document the effectiveness and the procedures of promising community-based interventions to improve health equity in the context of one of the world’s poorest countries. The primary objective is to evaluate community-based interventions that are currently underway in the health district of Kaya and that have been selected by the program’s stakeholders (researchers, practitioners, policy makers, communities) in a preliminary participatory planning process. The aim would be to provide evidence of their effectiveness regarding health equity. The second objective would be to articulate, implement and evaluate the best practices of community interventions favoring equity, based on the work and results of experiments using a participatory approach. It will also be important to take action and conduct research in accordance with ethical principles and negotiated partnership approaches with stakeholders, while having due regard to the application of the knowledge produced.
Evaluative research will be undertaken both on community interventions that are underway as well as on those created within the program. This project comprises several scientific assets that favor socially and scientifically relevant knowledge including:
- Intervention heterogeneity (nutrition, malaria, financial protection, family planning, etc.);
- Intervention temporality (before 2012, during the program);
- Variety of assessment type (impact, equity, process, sustainability, scalability);
- Variety of methods of assessment (quantitative, qualitative, mixed);
- Existence of a research infrastructure with exceptional population data for the region (demographic surveillance system with a panel of 50,000 people since 2007)
This program is also an opportunity to experience and evaluate the best research practices and potential interventions that could favor equity. These new practices will allow to meet the needs of knowledge in the following areas:
- Practice of collaborative research (North/South partnerships and relationships between researchers, stakeholders, policy makers, and community partnership);
- Development and evaluation of a code of ethics;
- Knowledge application through the implementation and evaluation of a strategy for knowledge brokering;
- Identification of new community-based interventions aimed to improve health equity.
Finally, this project will advance the state of knowledge regarding three methodological developments:
- The use of geographic information systems for health equity;
- The use of a realistic approach in terms of evaluation;
- The analysis of the impact of profits using a method allowing to evaluate the effects of an intervention without resorting to external standards of success
The interdisciplinary aspect of this program is guaranteed through the mobilization of researchers from different disciplines (anthropology, social sciences, geography) and experts in complementary fields (public health, evaluation, knowledge transfer, nutrition).
Publications:
Ridde, V., Agier, I., Bonnet, E., Carabali, M., Dabiré, K. R., Fournet, F., … Parra, B. (2016). Presence of three dengue serotypes in Ouagadougou (Burkina Faso): research and public health implications. Infectious Diseases of Poverty, 5(23). https://doi.org/10.1186/s40249-016-0120-2 Download
De Allegri, M., Tiendrebéogo, J., Müller, O., Yé, M., Jahn, A., & Ridde, V. (2015). Understanding home delivery in a context of user fee reduction: a cross-sectional mixed methods study in rural Burkina Faso. BMC Pregnancy and Childbirth, 15(1). https://doi.org/10.1186/s12884-015-0764-0 Download
Dagenais, C., Mc Sween-Cadieux, E., & Somé, P.-A. (2015, November). L’importance du transfert de connaissances. Presented at the telier de restitution de la recherche « Traumatismes des accidents de la route à Ouagadougou », Institut Supérieur des Sciences de la Population, Ouagadougou, Burkina Faso. Download
Zongo, S., Caravali, M., & Ridde, V. (2015, November). Les tests rapides de la dengue, une opportunité de renforcement des capacités des soignants face à une maladie infectieuse émergente au Burkina Faso . Presented at the 22ème Conférence Canadienne de Santé Mondiale, Montréal. Download
Bonnet, E., Fillol, A., Nikiema, A., Ouedraogo, M., Lechat, L., & Ridde, V. (2015, November 1). Se protéger en circulation réduit la gravité des blessures. Institut de Recherche pour le Développement. Download
Bonnet, E., Fillol, A., Nikiema, A., Sidebega, S., Ouedraogo, M., Lechat, L., & Ridde, V. (2015, November 1). Comment réduire les accidents de la route et les traumatismes à Ouagadougou ? Institut de Recherche pour le Développement. Download
Bonnet, E., Fillol, A., Nikiema, A., Ouedraogo, M., Lechat, L., & Ridde, V. (2015, November 1). De la prise en charge à la guérison des victimes d’accidents de la route : des parcours parfois (trop) longs et coûteux. Institut de Recherche pour le Développement. Download
Munoz, M., Ridde, V., Yaro, S., & Bottger, C. (2015). Beyond Ebola: surveillance for all hemorrhagic fever in West Africa should be enhanced. Pan African Medical Journal, Supp 1: Ebola in West Africa. Before, now and then(3), 22. https://doi.org/10.11694/pamj.supp.2015.22.1.5837
Abdou Illou, M. M., Haddad, S., Agier, I., & Ridde, V. (2015). The elimination of healthcare user fees for children under five substantially alleviates the burden on household expenses in Burkina Faso. MC Health Services Research, 15, 313. https://doi.org/doi:10.1186/s12913-015-0957-2 Download
Somé, P. A., Dagenais, C., & Ridde, V. (2015, August). Analyse de la perception des acteurs sur l’efficacité des activités de partage de connaissances produites par des chercheurs en santé. Presented at the 3èmes journées scientifiques du CRSN, Nouna, Burkina Faso. Download
Lechat, L., Ridde, V., Queuille, L., & Bonnet, E. (2015, July). Recherche Action sur la pertinence d’un SVI gratuit pour améliorer la gouvernance en santé au Burkina Faso. Presented at the 3èmes journées scientifiques de Nouna, Nouna, Burkina Faso. Download
Bonnet, E., Lechat, L., Ouedraogo, M., Kabré, T., Djiguindé, A., Nikiéma, A., & Ridde, V. (2015, July). Les accidents de la route : l’épidémie négligée. Comment surveiller et évaluer les conséquences des accidents de la route au Burkina Faso ? Presented at the 3èmes journées scientifiques de Nouna, Nouna, Burkina Faso. Download
Carabali, M., Hernandez, L. M., Jose Arauz, M., Villar, L. A., & Ridde, V. (2015). Why are people with dengue dying? A scoping review of determinants for dengue mortality. BMC Infectious Diseases, (15). https://doi.org/10.1186/s12879-015-1058-x Download
Agier, I., & Ridde, V. (2015, May). Introduction des smartphones dans la collecte quantitative pour l’évaluation. Presented at the Congrès national 2015 de la Société canadienne d’évaluation (SCÉ), Montréal, Canada. Download
Bonnet, E., Lechat, L., Ouedraogo, M., Kabré, T., Djiguindé, A., Nikiéma, A., & Ridde, V. (2015, May). Principaux enseignements issus de la recherche dans le domaine de la sécurité routière en Afrique. Presented at the Forum Africain sur la Sécurité Routière, Ouagadougou, Burkina Faso. Retrieved from http://www.equitesante.org/principaux-enseignements-issus-de-la-recherche-dans-le-domaine-de-la-securite-routiere-en-afrique/ Download
Robert, E. (2015, May). Supprimer les paiements directs des soins en Afrique subsaharienne. Soutenance de thèse, Montréal, Canada. Download
Bonnet, E., Zombré, D., & Ridde, V. (2015, May). Évaluer les inégalités territoriales de l’exemption des paiements sur le recours aux soins au Burkina Faso. Retrieved from http://www.equitesante.org/evaluer-les-inegalites-territoriales-de-lexemption-des-paiements-sur-le-recours-aux-soins-au-burkina-faso/
Fillol, A., Bonnet, E., Bassolé, J., & Ridde, V. (2015, May). L’autopsie sociale pour étudier les déterminants sociaux des accidents de la circulation à Ouagadougou, Burkina Faso: étude pilote. Retrieved from http://www.equitesante.org/lautopsie-sociale-pour-etudier-les-determinants-sociaux-des-accidents-de-la-circulation-a-ouagadougou-burkina-faso-etude-pilote/
Fillol, A., Bonnet, E., Kaboré, A., Bassolé, J., & Ridde, V. (2015, May). Offrir une prise en charge médicale aux patients non accompagnés dans les services d’urgence des hôpitaux au Burkina Faso : l’engagement de l’association « Contact Hors Limites (CHL) ». Chaire REALISME. Download
Druetz, T., Ridde, V., Kouanda, S., Ly, A., Diabaté, S., & Haddad, S. (2015). Utilization of community health workers for malaria treatment: results from a three-year panel study in the districts of Kaya and Zorgho, Burkina Faso. Malaria Journal, 14(1), 71. https://doi.org/10.1186/s12936-015-0591-9 Download
Dagenais, C., Lane, J., & Somé, T. D. (2015, January). Le transfert de connaissances : favoriser des pratiques et des politiques fondées sur la recherche. Bobo Dioulasso, Burkina Faso. Retrieved from http://www.equitesante.org/le-transfert-de-connaissances-favoriser-des-pratiques-et-des-politiques-fondees-sur-la-recherche/
Dagenais, C., Somé, T. D., Boileau-Falardeau, M., Mc Sween-Cadieux, E., & Ridde, V. (2015). Collaborative development and implementation of a knowledge brokering program to promote research use in Burkina Faso, West Africa. Global Health Action 2015, (8). Retrieved from http://dx.doi.org/10.3402/gha.v8.26004 Download
Thomas Druetz, Kadidiatou Kadio, Slim Haddad, Seni Kouanda, Valéry Ridde. (2015). Do community health workers perceive mechanisms associated with the success of community case management of malaria? A qualitative study from Burkina Faso. Social Science & Medicine, Volume 124, 232–240. https://doi.org/10.1016/j.socscimed.2014.11.053 Download
Emmanuel Bonnet, David Zombré, Bertrand Meda, Valéry Ridde. (2014, November). Spatial analyses for assessing health interventions. Presented at the ITM Colloquium 2014, The Human Factor – Social science in global health research, Antwerp. Download
Nicole Atchessi, Valéry Ridde, Maria-Victoria Zunzunégui. (2014). Is the process for selecting indigents to receive free care in Burkina Faso equitable? BMC Public Health 2014. https://doi.org/10.1186/1471-2458-14-1158
Kadidiatou Kadio, Valery Ridde, Yamba Kafando, Aboubacar Ouédraogo. (2014, October). Social protection in health in Burkina Faso : analysis of a solidarity program to provide the poorest people with health insurance. Poster. Retrieved from http://www.equitesante.org/social-protection-in-health-in-burkina-faso-analysis-of-solidarity-program-to-provide-the-poorest-people-with-health-insurance/ Download
Druetz T, Ridde V, Kouanda S, Ly A, Diabaté S, Haddad S. (2014, October). Effectiveness of community case management of malaria in Burkina Faso: Results form a natural experiment. Poster. Retrieved from http://www.equitesante.org/effectiveness-of-community-case-management-of-malaria-in-burkina-faso-results-form-natural-experiment/ Download
Renaud Boulanger, Matthew Hunt, Valéry Ridde. (2014, June). Towards a health ethics policy framework to analyse user fee exemptions. Presented at the 12th World Congress of Bioethics, Mexico. Retrieved from http://www.equitesante.org/towards-health-ethics-policy-framework-to-analyse-user-fee-exemptions/
Some, D. T. (2014). Lettre du courtier (année 1, no1). Ouagadougou. Download
Bicaba, A., D Somé, T., Mc Sween-Cadieux, E., Ridde, V., Dagenais, C., & Boileau-Falardeau, M. (2014, août). Le courtage de connaissances pour promouvoir l’utilisation de la recherche au Burkina Faso. Retrieved from http://www.equitesante.org/courtage-de-connaissances-promouvoir-lutilisation-recherche-au-burkina-faso/
V. Ridde, I. Agier, E. Bonnet, M. Carabali, R. Dabiré, T. Druetz, F. Fournet, A. Ly, C. Ocampo, B. Parra. (2014, juin). La Dengue au Burkina Faso: pas de panique, mais soyons prudents. Download
Some, D. T. (2014). Lettre du courtier (année 1, no2). Ouagadougou. Download
Druetz, T., Ridde, V., & Haddad, S. (2014). The divergence between community case management of malaria and renewed calls for primary healthcare. Critical Public Health, (February 2014), 1–13. https://doi.org/10.1080/09581596.2014.886761 Download
Bonnet, E., Nikiema, A., & Lechat, L. (2014). Développer un système de surveillance des accidents de la route à Ouagadougou pour en diminuer le fardeau. Download
Beatriz Parra, Mabel Carabali, Bertrand Meda, Antarou Ly, Emmanuel Bonnet, Florence Fournet, Roch K. Dabiré, Clara B. Ocampo, Seni Kuanda, Isabelle Agier, Valéry Ridde. (2014). Presence of three dengue serotypes in Ouagadougou,Burkina Faso and its public health implications. Download
Antarou Ly, Mabel Carabali, Beatriz Parra, Thomas Druetz, Emmanuel Bonnet, Isabelle Agier, Seni Kouanda, Slim Haddad, Valéry Ridde. (2014). Presence of dengue fever in semi-urban
areas of two health districts in Burkina Faso. Download
Béland, D., & Ridde, V. (2014). Ideas and policy implementation: understanding the resistance against free health care in Africa. Les Cahiers Du CIRDIS, (2014, January), 1–22. Download
Some, D. T., Ridde, V., & Dagenais, C. (2014). Les politiques de subvention/exemption de paiement au Burkina Faso. Download
Some, D. T., Lane, J., Ridde, V., Dagenais, C., & Chiocchio, F. (2014). Comment stimuler l’utilisation de la moustiquaire imprégnée d’insecticide au Burkina Faso ? (pp. 1–4). Download
Druetz, T., Siekmans, K., Goossens, S., Ridde, V., & Haddad, S. (2013). The community case management of pneumonia in Africa: a review of the evidence. Health Policy and Planning, 1–14. https://doi.org/10.1093/heapol/czt104 Download
Agier, I., Kadio, K., & Ridde, V. (2013, November). Solidarité et Subventions croisées pour le financement de l’assurance santé du Burkina Faso : des concepts compris par les populations de Kaya mais des inquiétudes sur leur mise en oeuvre. Download
Kadio, K. (2013). Perception de l’entraide et de la solidarité de la part d’indigents provenant de ménages du quintile le plus riche du district sanitaire d’Ouargaye, au Burkina Faso. In SANTÉ MATERNELLE ET ACCÈS AUX SOINS EN AFRIQUE DE L’OUEST (pp. 187–207). Download
Somé, T. D., & Dagenais, C. (2013, March). Que faire pour augmenter l’adhésion aux mutuelles de santé au Burkina Faso ? Download
Valérie Farquet. (2013). Enquête qualité sur les prescriptions dans les centres de santé au Burkina Faso. Download
Meda, I. B., Ridde, V., & Haddad, S. (2013). Les effets de la gratuité des accouchements sur la fréquentation des centres de santé au Burkina. Download
Zombré, D., Haddad, S., & Ridde, V. (2013). L’utilisation des données longitudinales de routine pour l’évaluation de la performance des soins de santé primaires : un potentiel sous-exploité dans les pays à ressources limitées. Download
Druetz, T., Haddad, S., Kouanda, S., & Ridde, V. (2013). Les enfants de moins de 5 ans sont rarement conduits à un agent de santé communautaire lorsqu’ils présentent de la fièvre. Download
Zongo, S., Ridde, V., & Haddad, S. (2013). Les tests de diagnostic rapide du paludisme sont utiles, mais ils ne sont pas toujours disponibles ni pris en compte pour le diagnostic et les prescriptions. Download
Fregonese, F., Haddad, S., Druetz, T., Kuanda, S., & Ridde, V. (2013). La concentration des enfants malades dans les familles et son implication pour le dépistage et le traitement des fratries, (Figure 1), 1–3. Download
Druetz, T., Bonnet, E., Ridde, V., Kouanda, S., & Haddad, S. (2013). Les implications pratiques des variations micro-territoriales de la transmission du paludisme pour la planification des interventions, 1–3. Download
