The Perception of Health Workers and Stakeholders Involved in the Process of Selecting Indigent in Burkina Faso
The Perception of Health Workers and Stakeholders Involved in the Process of Selecting Indigent in Burkina Faso作者机构：Health Science Training and Research Unit University I Professor Joseph Ky Zerbo Ouagadougou Burkina Faso Social Approaches to Health Research Center ULB Bruxelles Belgium National Institute of Public Health Center Ouagadougou Burkina Faso Health Science Training and Research Unit Health Science Research Institute CNRST University I Professor Joseph Ky Zerbo Ouagadougou Burkina Faso
出 版 物：《Health》 (健康（英文）)
年 卷 期：2020年第12卷第9期
页 面：1169-1185页
学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学]
主 题：Perception Community Selection Indigents Health Workers Actors Involved Burkina Faso
摘 要：Background: Indigent selected for their health care is complex and poses enormous challenges. The actors involved have an influence on health actions and their perception is decisive for better care for the indigent. Little evidence exists on these perceptions and this paper has captured this. Methods: A case study involved 163 participants with a questionnaire and an interview guide. The quantitative responses were classified according to a measurement scale, proportions and overall indices of perception (Ip) and satisfaction (CSAT) were calculated. The relationship between variables was investigated using chi-square. Thematic analysis was used with qualitative data. The study met ethical requirements. Results: The participants had a positive perception of the selection: Ip = 0.77, but a minority (1/5) were dissatisfied with the selection. The perception of selection did not differ significantly depending on the experience of the actors. For the vast majority, the definition of indigent was satisfactory (CSAT = 91.4). The selection was done in a top down fashion and steps such as setting up committees, informing stakeholders, had shortcomings which negatively impacted the effectiveness of the selection. The needs of the participants included transparency in the indigent select process, matching the tools for selecting the indigent to the context, strengthening of local action, deconstruction of prejudices in terms of the indigent, power of actors to act, and importance for health services to reach out to the indigent. Conclusion: Consider
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