Development of a tool for planning and evaluating action research on health in Burkina Faso

Research Note of Bony AKA Roger Sylvestre, Ludovic QUEUILLE, Fatimata PILABRE, Noufou ZIDWEMBA and Valery RIDDE on developing a tool for planning and evaluating an action research on health in Burkina Faso.

The authors thank the health authorities of the regional directorate of health Sahel – Burkina Faso, and all stakeholders who took part in this action research (list below).

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List of stakeholders:

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Suggested citation:

Aka, B. R. S., Queuille, L., Pilabre, F., Zidwemba, N., & Ridde, V. (2015, May). Development of a tool for planning and evaluating action research on health in Burkina Faso. IRSPUM / HELP / ECHO. Download

Poster: Evaluating the Evidence on the Efficiency of Performance-Based Financing in Lower Income Countries

Poster presented at the Canadian Evaluation Society (CES) 2015 National Conference and realised by Anne-Marie Turcotte-Tremblay, Jessica Spagnolo, Manuela De Allegri & Valéry Ridde.

What is Performance Based-Financing (PBF) ? It is a conditional payment made to healthcare providers after predefined performance results have been attained and verified. Financial incentives are expected to motivate providers to improve healthcare services. There is a rapid expansion of PBF in low-and middle-income countries (LMICs) to improve health care services.

Does PBF increase efficiency ? Some stakeholders argue that PBF in LMICs can increase efficiency. We consider PBF to be efficient when improved care quality is achieved with equal or lower costs, or when the same quality of care is achieved using less financial resources. It is urgent to determine if this is supported by empirical evidence.

Objective: to identify and analyze the evidence regarding the efficiency of PBF in LMICs.

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Recommanded citation:

Turcotte-Tremblay, A.-M., Spagnolo, J., De Allegri, M., & Ridde, V. (2015, May). Evaluating the Evidence on the Efficiency of Performance-Based Financing in Lower Income Countries. 36th Evaluation Conference of the Canadian Society for Evaluation. Download

Developing a Social Autopsy Tool for Dengue Mortality: A Pilot Study

Article by María José Arauz, Valéry Ridde, Libia Milena Hernández, Yaneth Charris, Mabel Carabali & Luis Ángel Villar published February 6, 2015 in PLoS ONE 10(2).

Abstract:

Background: Dengue fever is a public health problem in the tropical and sub-tropical world. Dengue cases have grown dramatically in recent years as well as dengue mortality. Colombia has experienced periodic dengue outbreaks with numerous dengue related-deaths, where the Santander department has been particularly affected. Although social determinants of health (SDH) shape health outcomes, including mortality, it is not yet understood how these affect dengue mortality. The aim of this pilot study was to develop and pre-test a social autopsy (SA) tool for dengue mortality.

Methods and Findings: The tool was developed and pre-tested in three steps. First, dengue fatal cases and ‘near misses’ (those who recovered from dengue complications) definitions were elaborated. Second, a conceptual framework on determinants of dengue mortality was developed to guide the construction of the tool. Lastly, the tool was designed and pre-tested among three relatives of fatal cases and six near misses in 2013 in the metropolitan zone of Bucaramanga. The tool turned out to be practical in the context of dengue mortality in Colombia after some modifications. The tool aims to study the social, individual, and health systems determinants of dengue mortality. The tool is focused on studying the socioeconomic position and the intermediary SDH rather than the socioeconomic and political context.

Conclusions: The SA tool is based on the scientific literature, a validated conceptual framework, researchers’ and health professionals’ expertise, and a pilot study. It is the first time that a SA tool has been created for the dengue mortality context. Our work furthers the study on SDH and how these are applied to neglected tropical diseases, like dengue. This tool could be integrated in surveillance systems to provide complementary information on the modifiable and avoidable death-related factors and therefore, be able to formulate interventions for dengue mortality reduction.

 

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Arauz, M. J., Ridde, V., Hernández, L. M., Charris, Y., Carabali, M., & Villar, L. Á. (2015). Developing a Social Autopsy Tool for Dengue Mortality: A Pilot Study. PLoS ONE, 10(2). https://doi.org/10.1371/journal.pone.0117455 Download