{"id":3176,"date":"2021-03-01T12:55:00","date_gmt":"2021-03-01T17:55:00","guid":{"rendered":"https:\/\/pathfinder.local\/?post_type=essay&p=3176"},"modified":"2024-03-27T11:59:35","modified_gmt":"2024-03-27T15:59:35","slug":"a-formula-for-enduring-partnerships-in-burkina-faso","status":"publish","type":"essay","link":"https:\/\/www.pathfinder.org\/impact-stories\/a-formula-for-enduring-partnerships-in-burkina-faso\/","title":{"rendered":"A Formula for Enduring Partnerships in Burkina Faso"},"content":{"rendered":"\n
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Lire en fran\u00e7ais<\/em><\/strong><\/a><\/div>\n<\/div>\n\n\n\n

Since 2018, the Evidence to Action (E2A) Project has partnered with Burkina Faso\u2019s Ministry of Health to strengthen critical reproductive health and voluntary family planning services. Dr. Andr\u00e9 Yoland Ky<\/strong>\u2014former Director of Family Health and a valued collaborator\u2014shares his firsthand perspective on this unique partnership and why it can serve as a model for future programs.<\/em><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

What makes a partnership effective?<\/strong><\/h3>\n\n\n\n

When I think about our Ministry of Health\u2019s collaboration with the E2A project, a number of things stand out. I believe it is important to reflect on the strengths of our partnership, as they may provide a roadmap forward. All are fundamental for effective implementation and, importantly, for strengthening government ownership and facilitating sustainability after a project like E2A ends.<\/p>\n\n\n\n

Some of the things I\u2019m referring to here are:<\/strong><\/p>\n\n\n\n

    \n
  • E2A\u2019s participatory approach<\/strong>\u2014conducting joint needs assessment, planning with the field actors, and establishing an accountability mechanism within my Department of Family Health for regular consultation and coordination of monitoring project activities.<\/li>\n\n\n\n
  • Enhanced communication<\/strong> between various implementing actors.<\/li>\n\n\n\n
  • Documentation of good practices<\/strong> to inform our decision making about what comes next.<\/li>\n<\/ul>\n\n\n\n

    Together, we made progress at the national level, where the Ministry designated E2A as a member of the performance monitoring committee of its National Family Planning Acceleration Plan. At the decentralized level, E2A also supported processes to generate demand for family planning, build capacity for human resources, and close gaps between communities and health facilities.<\/p>\n\n\n\n

    At every level, our work with E2A stemmed from our shared commitment and a focus on people.<\/p>\n\n\n\n

    People in communities and facilities<\/strong><\/h3>\n\n\n\n

    To address the factors that limit women and girls from using contraception, Burkina Faso\u2019s 2017-2020 costed implementation plan identified \u201cNational Family Planning Weeks\u201d as a key strategy in increasing access to services. E2A provided valuable support for this important initiative, with a focus on adolescents and youth\u2014a priority target for our government.<\/p>\n\n\n\n

    E2A also initiated the use of \u201c3-strain referral tickets\u201d making it possible to effectively monitor the referral and counter-referral of family planning clients\u2014both by community-based health workers and facility-based providers. This was useful in several ways. It improved the entire referral process, and thus client follow-up. It enhanced the continuity of services making it possible to improve the retention of voluntary family planning clients. Ultimately, this new process also improved quality of care by giving family planning services a humanizing dimension\u2014more adapted to and focused on the needs of clients and building clients\u2019 confidence.<\/p>\n\n\n\n

    As a result, we were able to increase demand for and consistent use of reproductive health services in general and family planning in particular.<\/p>\n\n\n\n

    People with unique and urgent needs<\/strong><\/h3>\n\n\n\n

    Through our partnership with E2A, we also made significant gains in bringing much-needed attention and health care to Burkina Faso\u2019s young first-time parents. I am talking about an underserved population of young people at a pivotal period of transition in their lives.<\/p>\n\n\n\n

    Indeed, these young first-time parents are called upon to assume responsibilities within their families and society. And they sometimes face the judgment and stigma of society and the community at a time when they need its support and guidance the most. These young parents are also, for the first time, called upon to assume new responsibilities related to their partners and their newborns\u2014whose survival and future depends on them.<\/p>\n\n\n\n

    I am convinced it is important to reach this population of young first-time parents with a targeted set of interventions at both community and health facility levels. What excited me most about E2A\u2019s approach to working with first-time parents is that it features:<\/p>\n\n\n\n

      \n
    • A focus on couples<\/strong>\u2014both young mothers and their partners.<\/li>\n\n\n\n
    • Involvement of social, family, and community leaders<\/strong>, like mothers-in-law, who are often forgotten determinants in our health interventions, even though their roles are very important in the process of social and behavior change.<\/li>\n\n\n\n
    • A comprehensive package of topics<\/strong> addressed<\/strong>, which are part of a continuum of integrated care that requires making quality services available upstream.<\/li>\n<\/ul>\n\n\n\n

      People who deliver health care<\/strong><\/h3>\n\n\n\n

      Skilled and competent human resources are the first and most essential resources of any system, not only in the health system. Provider training, both basic and in-service, is fundamental. In a context of limited resources with ever-increasing needs, innovation deserves to be favored.<\/p>\n\n\n\n

      The Ministry of Health in Burkina Faso is invested in enhancing human resources approaches\u2014to better serve clients. E2A supported our effort by piloting the on-site training of providers.<\/p>\n\n\n\n

      On-site training allows us to train many more providers, saving time and money. It also has the advantage of enabling providers to be trained in real situations\u2014in their usual work environment. This is fundamental because it allows providers to increase their knowledge of the site and to adapt the content of the training to their real-life working conditions. Thanks to E2A, the importance of this approach has been clearly demonstrated. And it is currently being implemented in other regions\/districts for other interventions and other health areas. The expected logical next step is to scale up this approach at the national level (more on that in a moment).<\/p>\n\n\n\n

      \"\"
      Kabore Absette Edith Sage, midwife and mentor, and Sana Salimata, 17, discuss contraceptive methods, at the maternity hospital in Dogona Bobo Dioulasso, Burkina Faso. Photo: Tagaza Djibo<\/figcaption><\/figure>\n\n\n\n

      People who will carry progress forward<\/strong><\/h3>\n\n\n\n

      E2A showed particular interest in providing direct support to our Department of Family Health within the Ministry. This included technical support to strengthen joint supervision as well as enhancements to facilities that increased the safety, motivation, and productivity of staff. These enhancements will ultimately increase the department\u2019s visibility among partners and stakeholders and contribute significantly to improving its performance results. <\/strong><\/p>\n\n\n\n

      Reflecting on this partnership and my tenure as Director of Family Health, there are a few things I would most like to see next. I recognize that the E2A project is ending this year, but the good work we have done together can and should continue. It will take strong national party involvement to empower regional and district actors who can own the interventions. This is the path toward scaling up these proven programs to the national level.<\/p>\n\n\n\n

      This is the formula for creating lasting change for the people of Burkina Faso.<\/h5>\n\n\n\n
      \n\n\n\n

      Une formule pour des partenariats durables au Burkina Faso<\/strong><\/h1>\n\n\n\n

      Depuis le 2018, le projet Evidence to Action (E2A) est en partenariat avec le minist\u00e8re de la sant\u00e9 du Burkina Faso pour renforcer les services essentiels de sant\u00e9 reproductive et de planning familial volontaire. Le Dr Andr\u00e9 Yolland Ky<\/strong>, ancien Directeur de la Sant\u00e9 Familiale et collaborateur appr\u00e9ci\u00e9, nous fait part ci-dessous de son point de vue sur ce partenariat unique en son genre et nous explique pourquoi il peut servir de mod\u00e8le pour de futurs programmes.<\/em><\/p>\n\n\n\n

      \"\"<\/figure>\n\n\n\n

      Qu\u2019est-ce qui rend un partenariat efficace?<\/strong><\/h3>\n\n\n\n

      Lorsque je pense \u00e0 la collaboration de notre Minist\u00e8re de la Sant\u00e9 avec le projet E2A, un certain nombre de choses resonnent pour moi mais je pense que le plus important est de r\u00e9fl\u00e9chir aux points forts de notre partenariat, car ils peuvent nous fournir une feuille de route pour l\u2019avenir. Tous sont fondamentaux pour une mise en \u0153uvre efficace et, surtout, pour renforcer l\u2019appropriation par le gouvernement et faciliter la durabilit\u00e9 apr\u00e8s la fin d\u2019un projet comme E2A.<\/p>\n\n\n\n

      Je fais r\u00e9f\u00e9rence \u00e0 certaines choses ici\u2026<\/strong><\/p>\n\n\n\n

        \n
      • L\u2019approche participative de E2A<\/strong> \u2013 \u00e9valuation conjointe des besoins, planification avec les acteurs de terrain et mise en place d\u2019un m\u00e9canisme de redevabilit\u00e9 avec mon d\u00e9partement \u00e0 travers des cadres de consultation et coordination r\u00e9guliers de suivi des activit\u00e9s<\/li>\n\n\n\n
      • Am\u00e9lioration de la communication<\/strong> entre les diff\u00e9rents acteurs de la mise en \u0153uvre.<\/li>\n\n\n\n
      • Documentation des bonnes pratiques<\/strong> pour \u00e9clairer notre prise de d\u00e9cision sur la suite des \u00e9v\u00e9nements.<\/li>\n<\/ul>\n\n\n\n

        Ensemble, nous avons progress\u00e9 au niveau national, o\u00f9 le minist\u00e8re a d\u00e9sign\u00e9 E2A comme membre du comit\u00e9 de suivi des performances de son plan national d\u2019acc\u00e9l\u00e9ration de la planification familiale. Au niveau d\u00e9centralis\u00e9, E2A a \u00e9galement soutenu les processus visant \u00e0 g\u00e9n\u00e9rer la demande en planification familiale, \u00e0 renforcer les capacit\u00e9s en ressources humaines et \u00e0 rapprocher davantage les communaut\u00e9s des \u00e9tablissements de sant\u00e9.<\/p>\n\n\n\n

        \u00c0 tous les niveaux, notre travail avec E2A d\u00e9coule de notre engagement commun et de l\u2019accent mis sur les personnes<\/p>\n\n\n\n

        Les personnes dans les communaut\u00e9s et dans les structures sanitaires<\/strong><\/h3>\n\n\n\n

        Pour s\u2019attaquer aux facteurs qui limitent l\u2019utilisation de la contraception par les femmes et les filles, le plan d\u2019action national budg\u00e9tis\u00e9 2017 \u2013 2020 du Burkina Faso a identifi\u00e9 les \u201cSemaines nationales de planification familiale\u201d comme une strat\u00e9gie cl\u00e9 pour accro\u00eetre l\u2019acc\u00e8s aux services. E2A a apport\u00e9 un soutien pr\u00e9cieux \u00e0 cette importante initiative, en mettant l\u2019accent sur les adolescents et les jeunes \u2013 une cible prioritaire pour notre gouvernement.<\/p>\n\n\n\n

        E2A a \u00e9galement lanc\u00e9 l\u2019utilisation de \u201ctickets de r\u00e9f\u00e9rence \u00e0 trois souche\u201d permettant de faire un suivi efficace de la r\u00e9f\u00e9rence et contre-r\u00e9f\u00e9rence des clients de planification familiale \u2013 aussi bien par les agents de sant\u00e9 communautaires que par les prestataires des formations sanitaires. Cela a \u00e9t\u00e9 utile \u00e0 plusieurs \u00e9gards. Elle a permis d\u2019am\u00e9liorer l\u2019ensemble du processus de r\u00e9f\u00e9rence, et donc le suivi des clients. Elle a renforc\u00e9 la continuit\u00e9 des services, ce qui a permis d\u2019am\u00e9liorer la r\u00e9tention des clients.  Enfin, ce nouveau processus a \u00e9galement am\u00e9lior\u00e9 la qualit\u00e9 des soins en donnant aux services de planification familiale une dimension humanisante \u2013 plus adapt\u00e9e et plus ax\u00e9e sur les besoins des clients, et en renfor\u00e7ant la confiance de ces derniers.<\/p>\n\n\n\n

        En cons\u00e9quence, nous avons pu accro\u00eetre la demande et l\u2019utilisation des services de sant\u00e9 reproductive en g\u00e9n\u00e9ral et de la planification familiale en particulier.<\/p>\n\n\n\n

        Personnes ayant des besoins uniques et urgents<\/strong><\/h3>\n\n\n\n

        Gr\u00e2ce \u00e0 notre partenariat avec E2A, nous avons \u00e9galement fait des progr\u00e8s significatifs en apportant une attention et des soins de sant\u00e9 indispensables aux jeunes parents du Burkina Faso qui en sont \u00e0 leur premi\u00e8re exp\u00e9rience. Je parle ici d\u2019une population de jeunes mal desservis qui se trouve \u00e0 une p\u00e9riode charni\u00e8re de transition dans leur vie.<\/p>\n\n\n\n

        En effet, ces jeunes parents pour la premi\u00e8re fois sont appel\u00e9s \u00e0 assumer des responsabilit\u00e9s au sein de leur famille et de la soci\u00e9t\u00e9. Et ils sont parfois confront\u00e9s au jugement et \u00e0 la stigmatisation de la soci\u00e9t\u00e9 et de la communaut\u00e9 \u00e0 un moment o\u00f9 ils ont le plus besoin de son soutien et de ses conseils. Ces jeunes parents sont \u00e9galement, pour la premi\u00e8re fois, appel\u00e9s \u00e0 assumer de nouvelles responsabilit\u00e9s li\u00e9es \u00e0 leur partenaire et \u00e0 leur nouveau-n\u00e9, dont la survie et l\u2019avenir d\u00e9pendent d\u2019eux.<\/p>\n\n\n\n

        Je suis convaincu qu\u2019il est important d\u2019atteindre cette population de jeunes parents gr\u00e2ce \u00e0 un ensemble d\u2019interventions cibl\u00e9es, tant au niveau de la communaut\u00e9 que des \u00e9tablissements de sant\u00e9. Ce qui m\u2019a le plus enthousiasm\u00e9 dans l\u2019approche de travail de E2A avec les parents pour la premi\u00e8re fois, c\u2019est :<\/p>\n\n\n\n

          \n
        • L\u2019attention particuli\u00e8re accord\u00e9e aux couples<\/strong>, c\u2019est-\u00e0-dire aux jeunes m\u00e8res et \u00e0 leurs partenaires masculins.<\/li>\n\n\n\n
        • L\u2019implication des leaders sociaux, familiaux et communautaires<\/strong>, comme les belles-m\u00e8res, qui sont des influenceurs souvent oubli\u00e9s dans nos interventions de sant\u00e9, m\u00eame si leur r\u00f4le est tr\u00e8s important dans le processus de changement social et comportemental.<\/li>\n\n\n\n
        • Un ensemble complet de sujets abord\u00e9s<\/strong>, qui s\u2019inscrivent dans un continuum de soins int\u00e9gr\u00e9s qui n\u00e9cessite de mettre \u00e0 disposition des services de qualit\u00e9 en amont.<\/li>\n<\/ul>\n\n\n\n

          Les personnes qui fournissent les soins de sant\u00e9<\/strong><\/h3>\n\n\n\n

          Des ressources humaines qualifi\u00e9es et comp\u00e9tentes sont les premi\u00e8res et les plus essentielles de tout syst\u00e8me, et pas seulement dans le syst\u00e8me de sant\u00e9. La capacitation des prestataires, tant en formation initiale ou en en formation continue, est fondamentale. Dans un contexte de ressources limit\u00e9es et de besoins toujours croissants, l\u2019innovation m\u00e9rite d\u2019\u00eatre favoris\u00e9e.<\/p>\n\n\n\n

          Le minist\u00e8re de la sant\u00e9 du Burkina Faso s\u2019investit dans l\u2019am\u00e9lioration des approches en mati\u00e8re de ressources humaines pour mieux servir les clients. E2A a soutenu notre effort en pilotant la formation sur site des prestataires.<\/p>\n\n\n\n

          La formation sur site nous permet de former beaucoup plus de prestataires, ce qui permet d\u2019\u00e9conomiser du temps et de l\u2019argent. Elle a \u00e9galement l\u2019avantage de permettre aux prestataires d\u2019\u00eatre form\u00e9s en situation r\u00e9elle \u2013 dans leur environnement de travail habituel. C\u2019est fondamental car cela permet aux prestataires d\u2019accro\u00eetre leur connaissance du site et d\u2019adapter le contenu de la formation \u00e0 leurs conditions de travail r\u00e9elles. Gr\u00e2ce \u00e0 E2A, l\u2019importance de cette approche a \u00e9t\u00e9 clairement d\u00e9montr\u00e9e. Et elle est actuellement mise en \u0153uvre dans d\u2019autres r\u00e9gions\/districts pour d\u2019autres interventions et d\u2019autres domaines de la sant\u00e9. La prochaine \u00e9tape logique attendue est d\u2019\u00e9tendre cette approche au niveau national (plus d\u2019informations \u00e0 ce sujet dans un instant).<\/p>\n\n\n\n

          \"\"
          Kabore Absette Edith Sage femme et mentor Pathfinder et Sana Salimata, 17 ans, c\u00e9libataire \u00e9changeant sur les m\u00e9thodes de contraception, \u00e0 la maternit\u00e9 de Dogona Bobo Dioulasso. Photo: Tagaza Djibo<\/figcaption><\/figure>\n\n\n\n

          Des personnes qui feront progresser les acquis<\/strong><\/h3>\n\n\n\n

          E2A a montr\u00e9 un int\u00e9r\u00eat particulier \u00e0 fournir un soutien direct \u00e0 notre d\u00e9partement de la sant\u00e9 familiale au sein du minist\u00e8re. Cela comprenait un soutien technique pour renforcer la supervision conjointe ainsi que des am\u00e9liorations faites au niveau de l\u2019infrastructure qui abrite la Direction de la Sante Familiale, toute chose qui va permettre d\u2019accro\u00eetre la s\u00e9curit\u00e9, la motivation et la productivit\u00e9 du personnel. Ces am\u00e9liorations permettront \u00e0 terme d\u2019accro\u00eetre la visibilit\u00e9 de la direction aupr\u00e8s des partenaires et des parties prenantes et contribueront de mani\u00e8re significative \u00e0 l\u2019am\u00e9lioration de ses r\u00e9sultats.<\/p>\n\n\n\n

          En r\u00e9fl\u00e9chissant \u00e0 ce partenariat et \u00e0 mon mandat de directeur de la sant\u00e9 familiale, il y a quelques \u00e9l\u00e9ments que j\u2019aimerais beaucoup voire se poursuivre. Je reconnais que le projet E2A se termine cette ann\u00e9e, mais le bon travail que nous avons accompli ensemble peut et doit se poursuivre. Il faudra une forte implication des parties nationales pour donner aux acteurs r\u00e9gionaux et de district les moyens de s\u2019approprier les interventions. C\u2019est la voie \u00e0 suivre pour \u00e9tendre ces programmes \u00e9prouv\u00e9s au niveau national.<\/p>\n\n\n\n

          C\u2019est la formule qui permettra de cr\u00e9er un changement durable pour le peuple du Burkina Faso.<\/h5>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3176","essay","type-essay","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.pathfinder.org\/wp-json\/wp\/v2\/essay\/3176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pathfinder.org\/wp-json\/wp\/v2\/essay"}],"about":[{"href":"https:\/\/www.pathfinder.org\/wp-json\/wp\/v2\/types\/essay"}],"wp:attachment":[{"href":"https:\/\/www.pathfinder.org\/wp-json\/wp\/v2\/media?parent=3176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}