System-level determinants of immunization coverage disparities among health districts in Burkina Faso : a multiple case study

Date

2009

Journal Title

Journal ISSN

Volume Title

Publisher

BioMed Central, London, GB

Abstract

This paper focuses on system-related factors that can explain disparities in immunization coverage among districts in Burkina Faso. This study shows that strong and committed leadership promotes an effective mobilization of teams and creates conditions for good performance in health districts. However, the discourse on factors that determine the performance of local health care favours technocratic and financial considerations, targeting institutional reforms, availability of resources, or accessibility of health services. The leadership role of those responsible for the district, and who may be labelled as “the human factor” in the performance of local health care systems is mentioned only marginally.

Description

Other authors: Boubacar Ouédraogo, Gisèle Contreras, Renée Larocque, Pierre Fournier

Keywords

HEALTH INEQUITY, LOCAL LEVEL, VACCINATION, BURKINA FASO, LEADERSHIP, IMMUNIZATION, SOUTH OF SAHARA

Citation

Haddad, S., Bicaba, A., Feletto, M., Taminy, E., & Kabore, M. (2009). System-level determinants of immunization coverage disparities among health districts in Burkina Faso: a multiple case study. BMC International Health and Human Rights, 9(Suppl 1):S15. doi:10.1186/1472-698X-9-S1-S15

DOI