Burkina Faso HEALTH SITUATION A number of improvements have been noted in the standard of health of the population. With reference to Millennium Development Goals (MDG) 4 and 5, maternal and infant mortality rates have declined. Burkina Faso has made significant progress on MDG 6. The prevalence of HIV infection is 1%, the percentage of people with AIDS and eligible for ARV therapy is 74.05%, and the reporting rate for new tuberculosis cases per 100 000 of population is 30.7%, with a fatality rate of 8.1%. Malaria is still the main cause of death and morbidity, accounting for 47% and 27% of all consultations at primary health-care facilities and medical centres and hospitals respectively. The main challenges facing Burkina Faso are: (1) the need to strengthen the health system to drive forward implementation of priority health interventions; (2) the need to improve the quality of health care; (3) the need to improve financial access to health care for the poorest and most vulnerable; (4) the need to reduce maternal, neonatal and infant and child mortality rates; (5) the need to reduce the double burden of communicable and noncommunicable diseases through prevention, case management, and research and surveillance, including implementation of the International Health Regulations; (6) the need to routinely take account of the social determinants of health as an essential component for improving the health of populations; (7) the need to improve the availability and affordability of quality, safe and efficient health products; (8) the need to adopt a health financing strategy, to give effect to the universal health insurance scheme and the various initiatives on subsidies and free medical care; and (9) the need to develop a strategy for health promotion that includes community health.
http:// www.who.int/countries/en/ WHO region World Bank income group CURRENT HEALTH INDICATORS Total population (2012) % population under 15 (2012) % population over 60 (2012) Life expectancy at birth (2012) Total, Male, Female 16 460 000 45.66 3.88 58 (Both sexes) 57 (M) 59 (F) 28 [17-46] (Both sexes) 102 [84-124] (Both sexes) 300 [190-520] 90 67.1 0.047 0.565 6.5 12.8 49.7 28.7 80 (Total) 74 (Rural) 96 (Urban) 50 (Urban) 18 (Total) 6 (Rural) 84.0 131 183 Africa High Income
HEALTH POLICIES AND SYSTEMS WHO, in its role as technical partner of reference in the health sphere, has provided the Ministry of Health with the necessary technical and occasionally financial support to develop policies, strategies and plans to strengthen the health system. This support has helped Burkina Faso to develop the relevant strategic documents, in particular a situation analysis on human resources for health, a draft national development plan on human resources for health and a triennial plan. To this end, WHO has made international expertise available to the Ministry of Health. In the same area, the Country Office has supported the development and/or finalization of the following documents: The community health policy designed to expand the range of health delivery options; the strategic plan for the development of telemedicine in Burkina Faso; the blueprint for the Yalgado Ouédraogo National Hospital Centre; the strategic plan for the management of medical emergencies; the definition of the medicare basket for universal health insurance; the development and dissemination of the national pharmaceutical policy and its strategic plan for 2012-2016, in which the identified priority actions are fully in line with WHO pharmaceutical strategy guidelines; the strategic plan for pharmaceutical supply; and the blood transfusion policy. Furthermore, with a view to help ensure coherence between the different levels of the health-care system, WHO has provided technical and financial support to the technical review of the 2013 and 2014 action plans for Regional Health departments, districts and hospitals. Burkina Faso also carried out the STEPS survey in 2014.
Neonatal mortality rate per 1000 live births (2012) Under-5 mortality rate per 1000 live births (2012) Maternal mortality ratio per 100 000 live births (2010) % DPT3 Immunization coverage among 1-year-olds (2012) % Births attended by skilled health workers (2010) Density of physicians per 1000 population (2010) Density of nurses and midwives per 1000 population (2010) Total expenditure on health as % of GDP (2011) General government expenditure on health as % of total government expenditure (2011) Private expenditure on health as % of total expenditure on health (2011) Adult (15+) literacy rate total (2007) Population using improved drinking-water sources (%) (2011)
COOPERATION FOR HEALTH In Burkina Faso, the financing of health is regarded as a challenge by the Ministry of Health. Moreover, at the request of the Ministry of Health, WHO has supported the carrying out of a situation analysis by providing an international expert, a local consultant and financial support through the Providing for Health (P4H) initiative. The report of this study will be used to develop a financing strategy for health geared towards universal health coverage. As regards the implementation of the universal health insurance scheme launched by the Government, WHO has supported the definition of a health care package, and also policy and technical dialogue, the development of the draft legislation, and the production of documentation on this subject. To mobilize financial resources for the implementation of the 2011-2020 National Health Development Plan, WHO contributed financially and technically to the organization of a donor round table to finance the 2013-2015 tranche of the National Health Development Plan, which yielded pledges by donors. In regard to making health services more affordable for the population, technical support was provided during discussions on the plan to exempt children under 5 from medical fees, and in monitoring the implementation of results-based funding and the national strategy for subsidizing deliveries and emergency obstetric and neonatal care.
Population using improved sanitation facilities (%) (2011) Poverty headcount ratio at $1.25 a day (PPP) (% of population) (2010) Gender-related Development Index rank out of 148 countries (2012) Human Development Index rank out of 186 countries (2012)¹ Sources of data: Global Health Observatory – April 2014 http://apps.who.int/gho/data/node.cco
WHO COUNTRY COOPERATION STRATEGIC AGENDA (2010-2015) Strategic Priorities Strategic priority 1 : Strengthen the health system and health policies • • • • • Strategic priority 2 : Improve maternal, neonatal, infant and teenage health
Main Focus Areas for WHO Cooperation Advocate the mobilization of additional health resources Help to improve the quality of health care, the organization of health services and capacitybuilding Help to strengthen the national information system, and support operational research and the monitoring and evaluation of the National Health Development Plan Help to develop initiatives to promote traditional medicine Increase the size and quality of the health workforce through the implementation of the national development plan for human resources for health Help to scale up quick-win interventions for maternal, neonatal, infant and teenage health Help to expand access to emergency obstetric and neonatal care and improve referral of complicated cases Help to implement the accelerated strategy for child survival and development and the integrated management of childhood illness Help to reposition family planning as part of reproductive health services Support efforts to reduce the incidence, prevalence and mortality rate of communicable diseases, especially vaccine-preventable diseases, HIV/AIDS, tuberculosis, malaria and neglected tropical diseases Support the development of policies and strategies to prevent and appropriately control chronic noncommunicable diseases, specifically diabetes, cancer and cardiovascular diseases. Support the development, implementation, and monitoring/evaluation of policies, strategies and interventions to reduce environmental health risks and risks associated with development activities, including in the area of health and health and safety at work Provide support for improving the management of biomedical waste Provide support for nutrition and food safety Support the promotion of efforts to address gender, human rights and ethics in heath policies and programmes
• • • •
Strategic priority 3 : Reinforce disease control
•
•
Strategic priority 4 : Health promotion
•
• • •
© World Health Organization 2014 - All rights reserved. The Country Cooperation Strategy briefs are not a formal publication of WHO and do not necessarily represent the decisions or the stated policy of the Organization. The presentation of maps contained herein does not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delineation of its frontiers or boundaries.
WHO/CCU/14.03/Burkina Faso
Updated: May 2014