Understanding perceptions of the quality of health care in the context of promoting universal health insurance in Burkina Faso

Volume 6, Issue 2, April 2022     |     PP. 104-119      |     PDF (265 K)    |     Pub. Date: April 17, 2022
DOI: 10.54647/sociology84777    104 Downloads     2345 Views  


Sombié Issa, Institut des Scicences des Sociètés /CNRST-Burkina Faso

Quality of care is a major concern of health policies in African countries. It has played an important role in the various reforms of the health system. This article aims to assess the quality of care in the context of the introduction of universal health insurance in the Hauts Bassins region in western Burkina Faso. It is a mixed-methods study that used both quantitative and qualitative data. Data were collected from the population and health workers in the health facilities using a questionnaire, two interview guides and an observation grid. In general, the results indicate a positive assessment of health services. The scores for all variables were above average. The variable

Perceptions, Health Care Quality, Universal Health Insurance, Burkina Faso, Health System

Cite this paper
Sombié Issa, Understanding perceptions of the quality of health care in the context of promoting universal health insurance in Burkina Faso , SCIREA Journal of Sociology. Volume 6, Issue 2, April 2022 | PP. 104-119. 10.54647/sociology84777


[ 1 ] Mohammad Mosadeghrad A. Healthcare service quality: towards a broad definition. International journal of health care quality assurance. 2013;26(3):203‑19.
[ 2 ] Donabedian A. Evaluating the quality of medical care. The Milbank memorial fund quarterly. 1966;44(3):166‑206.
[ 3 ] Donabedian A. The quality of care: how can it be assessed? Jama. 1988;260(12):1743‑8.
[ 4 ] Øvretveit J. Does improving quality save money. A review of evidence of which improvements to quality reduce costs to health service providers London: The Health Foundation. 2009;95.
[ 5 ] Schuster MA, McGlynn EA, Brook RH. How good is the quality of health care in the United States? The Milbank Quarterly. 1998;76(4):517‑63.
[ 6 ] Lohr KN, Schroeder SA. A strategy for quality assurance in Medicare. New England Journal of Medicine. 1990;322(10):707‑12.
[ 7 ] d’Ambruoso L, Abbey M, Hussein J. Please understand when I cry out in pain: women’s accounts of maternity services during labour and delivery in Ghana. BMC public health. 2005;5(1):140.
[ 8 ] Baltussen R, Ye Y. Quality of care of modern health services as perceived by users and non-users in Burkina Faso. International journal for quality in health care. 2005;18(1):30‑4.
[ 9 ] O’Donnell E, Utz B, Khonje D, Van Den Broek N. ‘At the right time, in the right way, with the right resources’: perceptions of the quality of care provided during childbirth in Malawi. BMC pregnancy and childbirth. 2014;14(1):248.
[ 10 ] Tancred T, Schellenberg J, Marchant T. Using mixed methods to evaluate perceived quality of care in southern Tanzania. Int J Qual Health Care. avr 2016;28(2):233‑9.
[ 11 ] Defourny J, Failon J. Les déterminants de l’adhésion aux mutuelles de santé en Afrique subsaharienne: un inventaire des travaux empiriques. Mondes en développement. 2011;(1):7‑26.
[ 12 ] Ekman B. Community-based health insurance in low-income countries: a systematic review of the evidence. Health policy and planning. 2004;19(5):249‑70.
[ 13 ] Fonteneau B. Les défis des systèmes de micro-assurance santé en Afrique de l’Ouest. Cadre politique, environnement institutionnel, fonctionnement et viabilité. 2004;
[ 14 ] Dong H, Kouyate B, Cairns J, Mugisha F, Sauerborn R. Willingness‐to‐pay for community‐based insurance in Burkina Faso. Health economics. 2003;12(10):849‑62.
[ 15 ] Waelkens M-P, Criel B. Les mutuelles de santé en Afrique sub-saharienne; état des lieux et réflexions sur un agenda de recherche. International Bank for Reconstruction and Development/World Bank; 2004.
[ 16 ] Reich MR, Harris J, Ikegami N, Maeda A, Cashin C, Araujo EC, et al. Moving towards universal health coverage: lessons from 11 country studies. The Lancet. 2016;387(10020):811‑6.
[ 17 ] Ifeagwu SC, Yang J, Parkes-Ratanshi R, Brayne C. P21 Universal health coverage in sub-saharan Africa: implications for planetary health. BMJ Publishing Group Ltd; 2020.
[ 18 ] EL KHEIR-MATARIA WA. Universal Health Coverage.
[ 19 ] Les inégalités d’accès aux services de santé et leurs déterminants au Burkina Faso - Persée [Internet]. [cité 27 oct 2020]. Disponible sur: https://www.persee.fr/doc/oss_1634-8176_2004_num_3_2_1012
[ 20 ] Deville C. Vers la Couverture Santé universelle en Afrique de l’Ouest? Revue Quart Monde. 2020;3(255):42‑6.
[ 21 ] Brodin M. Informatisation et confidentialité des données médicales. Laennec. 2007;55(1):12‑22.
[ 22 ] Da Silva RB, Contandriopoulos A-P, Pineault R, Tousignant P. Pour une approche globale de l’évaluation de l’utilisation des services de santé: concepts et mesures. Pratiques et organisation des soins. 2011;42(1):11‑8.
[ 23 ] Isapof A. La confidentialité dans les équipes. Contraste. 5 déc 2019;N° 50(2):155‑66.
[ 24 ] Probst JC, Greenhouse DL, Selassie AW. Patient and physician satisfaction with an outpatient care visit. J Fam Pract. nov 1997;45(5):418‑25.
[ 25 ] Huang X-M. Patient attitude towards waiting in an outpatient clinic and its applications. Health Services Management Research. 1994;7(1):2‑8.
[ 26 ] Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988;25‑36.
[ 27 ] Batchelor C, Owens DJ, Read M, Bloor M. Patient Satisfaction Studies. International Journal of Health Care Quality Assurance [Internet]. 11 avr 2013 [cité 13 mars 2019]; Disponible sur: https://www.emeraldinsight.com/doi/abs/10.1108/09526869410074720
[ 28 ] Dansky KH, Miles J. Patient satisfaction with ambulatory healthcare services: waiting time and filling time. Journal of Healthcare Management. 1997;42(2):165.
[ 29 ] Islam F, Rahman A, Halim A, Eriksson C, Rahman F, Dalal K. Perceptions of health care providers and patients on quality of care in maternal and neonatal health in fourteen Bangladesh government healthcare facilities: a mixed-method study. BMC Health Serv Res [Internet]. 19 juin 2015 [cité 11 mars 2019];15. Disponible sur: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472247/
[ 30 ] Cameron A, Roubos I, Ewen M, Mantel-Teeuwisse AK, Leufkens HG, Laing RO. Differences in the availability of medicines for chronic and acute conditions in the public and private sectors of developing countries. Bulletin of the World Health Organization. 2011;89:412‑21.
[ 31 ] Maïga MD, Diawara A. Etude sur la disponibilité et les prix des médicaments dans le secteur privé au Mali. Med Trop. 2006;66:565‑8.
[ 32 ] Organization WH. Tunisie: Prix des medicaments, disponibilite, accessibilite financiere et composantes des prix. 2010.