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Criterios de trabajadores sociales de la calle para identificar a indigentes para ser eximidos del pago de tasas sanitarias en Burkina Faso
Author(s) -
Ridde V.,
Sombie I.
Publication year - 2012
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2012.02991.x
Subject(s) - delphi method , medicine , health care , vulnerability (computing) , nursing , harm , environmental health , medical emergency , economic growth , psychology , social psychology , statistics , mathematics , computer security , computer science , economics
Objectives Universal healthcare coverage cannot be achieved in Africa as long as the indigent, the poorest, are unable to access healthcare systems. This study was carried out in Burkina Faso to obtain street‐level workers’ perspectives on what criteria should be used to select indigents to be exempted from user fees. Methods Two group consensus techniques were used (Delphi and Concept Mapping). The participants were nurses (CM; n = 24), midwives (CM; n = 23) from a rural district and Social Action agents (CM; n = 31) and healthcare workers (Delphi n = 23) in training at two national schools. Results Altogether, 446 criteria were proposed. The nurses put forward criteria related to being ill without support and being a victim of society. The midwives focused more on the disabled poor and those who were ill and unsupported. The healthcare workers in training mentioned disabled persons and the elderly with no family support. The Social Action agents spoke about vulnerability related to illness or disability and the fact of being excluded or being a disaster victim. Conclusions These criteria proposed by street‐level workers add to other studies conducted in Burkina Faso and should help the State to improve indigents’ access to care.