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Survey on Sustainable Mechanisms for Financing Essential Drugs at Loumbila in Burkina Faso

Received: 3 September 2014     Accepted: 17 September 2014     Published: 20 October 2014
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Abstract

In Burkina Faso, households are the main source of health financing. Based on out-of-pocket health payments, the current system is a major cause of poverty. The purpose of this study is to contribute to the improvement of local health funding in Loumbila and throughout the country. A descriptive and analytical study was conducted among 271 household heads, 3 health committee members, the top state official in the village (préfet), and the secretary general of the municipality between 25 June and 5 August 2010. A survey guide and questionnaires were used to collect data. The cross-analytical and descriptive survey was used to collect, process, analyze and discuss the results. The results of the survey indicate that 82.3 % of the participating households were willing to contribute to the creation of a municipal health fund in the village. The study founds that the average contribution rate of each household was 9 % of the annual household income. The harvest period (in the case of farmers) or any adapted period (in the case of other households) is the best periods for collecting funds. The findings suggest that the municipal committee will need to be responsible for managing and coordinating the municipal health fund. This requires the participation of the state, health districts, NGOs (Non-Governmental Organizations), and others partners. It is estimated that the cost of effective treatment for the ten most priorities diseases in the village in 2010 was 4,011,300 FCFA (West and Central Africa French speaking countries currency). If all the households in the village were to contribute to the municipal health fund, the total amount of contributions would amount to 15,575,515 FCFA. Under this system, all households within the village can have access to essential drugs. The municipal health fund will also have some reserves for performing municipal development boards and institutions, for improving the independence and sustainability of the system.

Published in Science Journal of Public Health (Volume 2, Issue 5)
DOI 10.11648/j.sjph.20140205.27
Page(s) 486-493
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Funding, Essential Medicines, Households, Loumbila, Burkina Faso

References
[1] Stinson W. Potential and limitations of community financing. World Health Forum, 1984; (5):123-125.
[2] OMS. Accès équitable aux médicaments essentiels : cadre d’action collective. Perspectives politiques de l’OMS sur les médicaments. 2004 : 6
[3] OMS. Réformes de la santé et financement des médicaments – Série « Économie de la santé et médicaments ». WHO/DAP. Genève, 1998 : 20-60
[4] OMS. Rapport sur la santé dans le monde. Le financement des systèmes de santé : le chemin vers une couverture universelle. Genève, 2010 : 20-60.
[5] World Health Organization. Coping with out-of- pocket health payments: application of engel curves and two-part models in six african countries. Discussion paper number 7 2007. Department health system financing. Geneva, 2007: 12-13.
[6] Direction Générale de l’Information et des Statistiques Sanitaires (DGISS)/ Ministère de la Santé. Tableau de bord santé 2009. Ouagadougou, 2010 : 30-75
[7] Institut National de la Statistique et de la Démographie (INSD)/ Ministère de l’économie et des finances. Recensement général de la population et de l’habitat de 2006. 2009 : 45-80.
[8] The World Bank. Development indicators. Washington, 2008 : 18-19
[9] Direction Générale de l’Information et des Statistiques Sanitaires (DGISS)/Ministère de la Santé. Tableau de bord santé 2009. Ouagadougou, 2010 : 30-68.
[10] Institut National de la Statistique et de la Démographie (INSD)/ Ministère de l’économie et des finances. Analyse des résultats de l’enquête annuelle sur les conditions de vie des ménages en 2003. Ouagadougou, 2003 : 270.
[11] Yunus M. Jolis A. Vers un monde sans pauvreté. J.C. Lattès, Paris, 1997 :345
[12] Saouadogo H. Financement des médicaments essentiels par les ménages : Élaboration d’un système de prépaiement favorisant l’accès financier aux médicaments essentiels dans les pays en développement, District Sanitaire de Ouahigouya (Burkina Faso). Edition Universitaire Européenne. Sarrebruck, 2010 : 140.
[13] Ministère de la santé. Etats généraux de la santé. Ouagadougou, 2010
[14] PIMED. Pour améliorer la qualité des dons de médicaments : Compte rendu du colloque du 1er avril 2000. Paris; 2000
[15] Chirac P. Pour ou contre l'envoi dans le tiers-monde de médicaments inutilisés? Paris : La Revue Prescrire, 1987: 157.
[16] OMS. Comment élaborer et mettre en œuvre une politique pharmaceutique nationale 2ème édition. OMS. Genève, 2002 : 92
[17] Institut National de la Statistique et de la Démographie (INSD)/ Ministère de l’économie et des finances. Recensement général de la population et de l’habitat de 1996. Ouagadougou, 2000 : 315
[18] DREES. Les bénéficiaires de la couverture médicale universelle au 31 décembre 2005. Etudes et résultats N°512. Ministère de la santé et des solidarités. Direction de la recherche, des études, de l’évaluation et des statistiques. Paris, 2006
[19] Ouedraogo J. Détermination et impact du risque moral sur la viabilité de l’AMBC de Nouna. Thèse de doctorat en pharmacie. Université de Ouagadougou (Burkina Faso), 2009 :118
[20] USAID, Banque mondiale. Le Ghana et le Rwanda modèles de généralisation de l’assurance maladie en Afrique. ReMeD, 2009 : 2
[21] Vittecoq O. Les réformes des systèmes de protection sociale - Convergence et diversité. Revue Française des Affaires Sociales. Paris, 1999 : 76
[22] Jakab M, Krishnan C. Community involvement in health care financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses. 2001
[23] Basaza R, Criel B, Van der Stuyft P, Criel B, and Van der Stuyft P. Low enrollment in Ugandan Community Health Insurance schemes: underlying causes and policy implications. BMC Health Services Research. 2007. (7):105.
[24] De Allegri M, Sanon M, Bridges J, and Sauerborn R. Understanding consumers’ preferences and decision to enrol in community-based health insurance in rural West Africa. Health policy, 2006 ; 76(1): 58-71.
[25] Institut National de la Statistique et de la Démographie (INSD)/Ministère de l’économie et des finances. Bulletin trimestriel de conjoncture deuxième trimestre 2010. Ouagadougou, 2010 : 75
[26] Sankara T. Discours d’orientation politique. Octobre 1983, Ouagadougou, 1984 :14
[27] Strandberg-Larsen M, Nielsen MB, Vallgårda S, Krasnik A, Vrangbæk K and Mossialos E. Denmark: Health system review. Health Systems in Transition, 2007; 9(6): 1–164.
[28] Vuorenkoski L, Mladovsky P and Mossialos E. Finland: Health system review. Health Systems in Transition. 2008; 10(4): 1–168.
[29] Teperi J, Porter EM, Vuorenkoski L and Baron FJ. The Finnish Health Care System: A Value-Based Perspective. Sitra Reports, Prima Ltd, 2009 : 20-112
[30] Norwegian Directorate of Health. Norway and Health an introduction. IS-1730 E. 2009 : 14-33
[31] Johnsen JR. Health Systems in Transition: Norway. Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, 2006 : 31-51
[32] Anell A, Glenngård AH, Merkur S. Sweden: Health system review. Health Systems in Transition, 2012, 14(5):1–159.
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  • APA Style

    Hamado Saouadogo, Koffi Miwonovi Amoussou, Laurent Ouedraogo. (2014). Survey on Sustainable Mechanisms for Financing Essential Drugs at Loumbila in Burkina Faso. Science Journal of Public Health, 2(5), 486-493. https://doi.org/10.11648/j.sjph.20140205.27

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    ACS Style

    Hamado Saouadogo; Koffi Miwonovi Amoussou; Laurent Ouedraogo. Survey on Sustainable Mechanisms for Financing Essential Drugs at Loumbila in Burkina Faso. Sci. J. Public Health 2014, 2(5), 486-493. doi: 10.11648/j.sjph.20140205.27

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    AMA Style

    Hamado Saouadogo, Koffi Miwonovi Amoussou, Laurent Ouedraogo. Survey on Sustainable Mechanisms for Financing Essential Drugs at Loumbila in Burkina Faso. Sci J Public Health. 2014;2(5):486-493. doi: 10.11648/j.sjph.20140205.27

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  • @article{10.11648/j.sjph.20140205.27,
      author = {Hamado Saouadogo and Koffi Miwonovi Amoussou and Laurent Ouedraogo},
      title = {Survey on Sustainable Mechanisms for Financing Essential Drugs at Loumbila in Burkina Faso},
      journal = {Science Journal of Public Health},
      volume = {2},
      number = {5},
      pages = {486-493},
      doi = {10.11648/j.sjph.20140205.27},
      url = {https://doi.org/10.11648/j.sjph.20140205.27},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140205.27},
      abstract = {In Burkina Faso, households are the main source of health financing. Based on out-of-pocket health payments, the current system is a major cause of poverty. The purpose of this study is to contribute to the improvement of local health funding in Loumbila and throughout the country. A descriptive and analytical study was conducted among 271 household heads, 3 health committee members, the top state official in the village (préfet), and the secretary general of the municipality between 25 June and 5 August 2010. A survey guide and questionnaires were used to collect data. The cross-analytical and descriptive survey was used to collect, process, analyze and discuss the results. The results of the survey indicate that 82.3 % of the participating households were willing to contribute to the creation of a municipal health fund in the village. The study founds that the average contribution rate of each household was 9 % of the annual household income. The harvest period (in the case of farmers) or any adapted period (in the case of other households) is the best periods for collecting funds. The findings suggest that the municipal committee will need to be responsible for managing and coordinating the municipal health fund. This requires the participation of the state, health districts, NGOs (Non-Governmental Organizations), and others partners. It is estimated that the cost of effective treatment for the ten most priorities diseases in the village in 2010 was 4,011,300 FCFA (West and Central Africa French speaking countries currency). If all the households in the village were to contribute to the municipal health fund, the total amount of contributions would amount to 15,575,515 FCFA. Under this system, all households within the village can have access to essential drugs. The municipal health fund will also have some reserves for performing municipal development boards and institutions, for improving the independence and sustainability of the system.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Survey on Sustainable Mechanisms for Financing Essential Drugs at Loumbila in Burkina Faso
    AU  - Hamado Saouadogo
    AU  - Koffi Miwonovi Amoussou
    AU  - Laurent Ouedraogo
    Y1  - 2014/10/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.sjph.20140205.27
    DO  - 10.11648/j.sjph.20140205.27
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 486
    EP  - 493
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20140205.27
    AB  - In Burkina Faso, households are the main source of health financing. Based on out-of-pocket health payments, the current system is a major cause of poverty. The purpose of this study is to contribute to the improvement of local health funding in Loumbila and throughout the country. A descriptive and analytical study was conducted among 271 household heads, 3 health committee members, the top state official in the village (préfet), and the secretary general of the municipality between 25 June and 5 August 2010. A survey guide and questionnaires were used to collect data. The cross-analytical and descriptive survey was used to collect, process, analyze and discuss the results. The results of the survey indicate that 82.3 % of the participating households were willing to contribute to the creation of a municipal health fund in the village. The study founds that the average contribution rate of each household was 9 % of the annual household income. The harvest period (in the case of farmers) or any adapted period (in the case of other households) is the best periods for collecting funds. The findings suggest that the municipal committee will need to be responsible for managing and coordinating the municipal health fund. This requires the participation of the state, health districts, NGOs (Non-Governmental Organizations), and others partners. It is estimated that the cost of effective treatment for the ten most priorities diseases in the village in 2010 was 4,011,300 FCFA (West and Central Africa French speaking countries currency). If all the households in the village were to contribute to the municipal health fund, the total amount of contributions would amount to 15,575,515 FCFA. Under this system, all households within the village can have access to essential drugs. The municipal health fund will also have some reserves for performing municipal development boards and institutions, for improving the independence and sustainability of the system.
    VL  - 2
    IS  - 5
    ER  - 

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Author Information
  • Public and International health Pharmacist, MOH, Burkina Faso. 01 BP 3409 Ouagadougou 01 Burkina Faso

  • MOH, Boulsa Health District in Centre Northern region

  • Medical Doctor, Ph D Public Health, Ma?tre de conférences agrégé de Santé publique, UFR/SDS, University of Ouagadougou, Burkina Faso

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