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Financement Basé sur la Performance et Indicateurs de Santé Infantile: Cas du District de Santé de Messamena –Cameroun
| Content Provider | Semantic Scholar |
|---|---|
| Author | Ngah, Penne Christelle Marguerite Ngah Essi, Marie-José Bela, Achille Christian Tchamgoue, Honoré Soeters, Robert |
| Copyright Year | 2018 |
| Abstract | RESUME Introduction : Le Financement Base sur la Performance est une importante reforme de management du systeme sante adoptee dans de nombreux gouvernements, en vue d’ameliorer la qualite des soins, l’efficience et l’equite. Dans cette perspective, des indicateurs ciblant certaines interventions ont ete retenues. Un stage effectue en 2015, a permis de relever des insuffisances dans la mise en œuvre des interventions ciblant la sante infantile. Partant de cette observation a jailli l’idee d’evaluer le niveau ces indicateurs. Methodes : Cette etude etait transversale retrospective. Les donnees etaient collectees sur la periode du 1er janvier au 30 juin 2016. La population cible etait constituee des populations des districts de sante d’Akonolinga et de Messamena (Sous contrat PBF). L’echantillon de l’etude se composait des carnets de vaccination des enfants vivant dans les menages des villages de ces districts et des registres des formations sanitaires de ces derniers. Resultats : Il est ressorti des registres des formations sanitaires que les enfants du DS d’Akonolinga ont recu plus de vitamine (432/616, 70,13%) que ceux du DS de Messamena. Des ecarts considerables dans l’administration des vaccins tels que le ROTA 1 et 2, avec 29,85% de perdus de vue, partant du BCG au VAR ont ete releves a Messamena. Pour huit enfants referes, une seule contre-reference etait effective dans le DS de Messamena au cours des mois de janvier a juin 2016 [3]. Conclusion : Le niveau des indicateurs de sante infantile du FBP restait a ameliorer dans le district de sante de Messamena. ABSTRACT Introduction: The Performance Based Financing is an approach of health system implemented in several countries which aim is to improving the quality of health care, efficiency and equity [1]. Our study was focused on the level of the Performance Based Financing (PBF) child health indicators in Messamena’s health district. Methods: The study was cross-sectional and analytical. The data collection was carried out between january and june 2016The study population was made up of the population of Akonolinga and Messamena health districts. The study sample was made up of immunization records of children living in the households of the villages covered by the two districts, as well as the registers of health facilities. Results: More children of health district of Akonolinga received vitamin (432/616, 70.13%) than those of Messamena’s health district. The health district of Akonolinga had a high level of performance for some vaccines than Messamena: There is a significant difference between the proportion of children who received Rota1 and 2 in Messamena and we also notified a significant lost sight between BCG and VAR (29, 85% of children) in Messamena. Out of eight children only one counter referral case was recorded at Messamena health district between January and June 2016 [3]. Conclusion: The level of PBF child health indicators has to be improved in the Messamena Health District. |
| File Format | PDF HTM / HTML |
| Volume Number | 19 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/1090/pdf_611 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
