TY - JOUR

T1 - Comprendre l’influence des facteurs contextuels sur la participation communautaire à la santé

T2 - une étude de cas dans le district sanitaire de Tenkodogo, au Burkina Faso

AU - Sombie, Issa

AU - Ilboudo, David O. S.

AU - Soubeiga, Andre Kamba

AU - Samuelsen, Helle

PY - 2017/9

Y1 - 2017/9

N2 - Burkina Faso has been implementing a community participation strategy for several years. Steering committees were put into place in primary health care centres and they are expected to participate in making decisions. The main objective of this strategy is to encourage the use of health care services and massive community buy-in for health promotion activities. However, the results that have been observed so far by health officials do not yet meet expectations. This article explores factors linked to the sociocultural context of the district, to analyse the phenomenon of community participation.The study was carried out in the Tenkodogo health district, which is situated in the Centre-East administrative region of Burkina Faso, about 190 km from the capital. The authors used an exclusively qualitative study design with two data collection methods: interviews and focus group discussions. The study participants are household heads (n = 48), steering committee members (n = 10), health workers (n = 8) and community health workers (n = 24). The content analysis method was used to analyse the data.The study findings show several sociocultural factors that influence the community participation dynamic in each district. They are: economic conditions, negative perceptions of health care services, gender- and age-related social inequalities, weak social integration of community-based organisations, inter-village rivalry and tradition-rooted conflicts. The study also revealed that communities did not perceive their involvement in the decision-making processes of health care services as a priority. Their primary expectations were oriented towards access to high-quality, inexpensive health care.

AB - Burkina Faso has been implementing a community participation strategy for several years. Steering committees were put into place in primary health care centres and they are expected to participate in making decisions. The main objective of this strategy is to encourage the use of health care services and massive community buy-in for health promotion activities. However, the results that have been observed so far by health officials do not yet meet expectations. This article explores factors linked to the sociocultural context of the district, to analyse the phenomenon of community participation.The study was carried out in the Tenkodogo health district, which is situated in the Centre-East administrative region of Burkina Faso, about 190 km from the capital. The authors used an exclusively qualitative study design with two data collection methods: interviews and focus group discussions. The study participants are household heads (n = 48), steering committee members (n = 10), health workers (n = 8) and community health workers (n = 24). The content analysis method was used to analyse the data.The study findings show several sociocultural factors that influence the community participation dynamic in each district. They are: economic conditions, negative perceptions of health care services, gender- and age-related social inequalities, weak social integration of community-based organisations, inter-village rivalry and tradition-rooted conflicts. The study also revealed that communities did not perceive their involvement in the decision-making processes of health care services as a priority. Their primary expectations were oriented towards access to high-quality, inexpensive health care.

KW - Det Samfundsvidenskabelige Fakultet

U2 - 10.1177/1757975917726667

DO - 10.1177/1757975917726667

M3 - Tidsskriftartikel

VL - 24

SP - 87

EP - 95

JO - Global Health Promotion

JF - Global Health Promotion

SN - 1757-9759

IS - 3

ER -