How to Estimate Optimal Malaria Readiness Indicators at Health-District Level: Findings from the Burkina Faso Service Availability and Readiness Assessment (SARA) Data

Toussaint Rouamba, Sekou Samadoulougou, Cheick Saïd Compaoré, Halidou Tinto, Jean Gaudart and Fati Kirakoya-Samadoulougou
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Toussaint Rouamba: Centre de Recherche en Epidémiologie, Biostatistique et recherche clinique, Ecole de Santé Publique, Université Libre de Bruxelles (ULB), Route de Lennik, 808 B-1070 Bruxelles, Belgien
Sekou Samadoulougou: Evaluation Platform on Obesity Prevention, Quebec Heart and Lung Institute Research Center, Quebec City, QC G1V 4G5, Canada
Cheick Saïd Compaoré: National Malaria Control Programme, Ministry of Health, 03 BP 7009 Ouagadougou, Burkina Faso
Halidou Tinto: Clinical Research Unit of Nanoro, Institute for Research in Health Sciences, National Center for Scientific and Technological Research, 42, Avenue Kumda-Yoore, BP 218 Ouagadougou CMS 11, Ouagadougou, Burkina Faso
Jean Gaudart: Aix Marseille Univ, APHM, INSERM, IRD, SESSTIM, Hop Timone, BioSTIC, F-13005 Marseille, France
Fati Kirakoya-Samadoulougou: Centre de Recherche en Epidémiologie, Biostatistique et recherche clinique, Ecole de Santé Publique, Université Libre de Bruxelles (ULB), Route de Lennik, 808 B-1070 Bruxelles, Belgien

IJERPH, 2020, vol. 17, issue 11, 1-17

Abstract: One of the major contributors of malaria-related deaths in Sub-Saharan African countries is the limited accessibility to quality care. In these countries, malaria control activities are implemented at the health-district level (operational entity of the national health system), while malaria readiness indicators are regionally representative. This study provides an approach for estimating health district-level malaria readiness indicators from survey data designed to provide regionally representative estimates. A binomial-hierarchical Bayesian spatial prediction method was applied to Burkina Faso Service Availability and Readiness Assessment (SARA) survey data to provide estimates of essential equipment availability and readiness for malaria care. Predicted values of each indicator were adjusted by the type of health facility, location, and population density. Then, a health district composite readiness profile was built via hierarchical ascendant classification. All surveyed health-facilities were mandated by the Ministry of Health to manage malaria cases. The spatial distribution of essential equipment and malaria readiness was heterogeneous. Around 62.9% of health districts had a high level of readiness to provide malaria care and prevention during pregnancy. Low-performance scores for managing malaria cases were found in big cities. Health districts with low coverage for both first-line antimalarial drugs and rapid diagnostic tests were Baskuy, Bogodogo, Boulmiougou, Nongr-Massoum, Sig-Nonghin, Dafra, and Do. We provide health district estimates and reveal gaps in basic equipment and malaria management resources in some districts that need to be filled. By providing local-scale estimates, this approach could be replicated for other types of indicators to inform decision makers and health program managers and to identify priority areas.

Keywords: SARA survey; binomial hierarchical Bayesian; geo-epidemiology; spatial analysis; malaria; service readiness; health district; Burkina Faso (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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