FREE HEALTH CARE AND RISK OF MORTALITY ON UNDER 5 YEARS OLD CHILDREEN IN BURKINA FASO : EVIDENCE FROM SAPONE HDSS By Malik LANKOANDE Msc Demography Projet.

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FREE HEALTH CARE AND RISK OF MORTALITY ON UNDER 5 YEARS OLD CHILDREEN IN BURKINA FASO : EVIDENCE FROM SAPONE HDSS By Malik LANKOANDE Msc Demography Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme

PLAN Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Introduction Methods Results Discussions and conclusion

BACKGROUND Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme General worlwide decrease of mortality Mortality is far to be homogenous International conventions and mortality About equiprobability of mortality The particular case of mortality in Burkina Faso

Aim of the study Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Assess the risk of mortality in 3 cohorts of under five years old childreen variously exposed in Saponé Health district.

METHODS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Study area

METHODS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Study population Total size of the DSS : inhabitants Proportion of under five years old: 13,2% Potential children of the study :

METHODS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Study design Study population Cohort A 9663 Cohort B 1156 Cohort C Analysed Emigrated

METHODS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Ethical aspects DMID/NIH ethical committee approval National ethical committee of Burkina Faso approval The study was explained to the Sapone health district leaders, the villagers, and the head of each participating household lnform consent was obtained from the parents or carers of the children before their enrolment

METHODS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Data collection and statistical analysis Sapone HDSS provides mortality data Probability of mortality and survival analysis Significant threshold: 5% Use of Stata (version 10) software

RESULTS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Death series and risk of mortality within the 3 cohorts CohortsDeadAliveTotal A B C Total Chi2 = P = 0.197

RESULTS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Time at 50% failure Cohort C = 107 [30,.] Cohort B = 218 [74, 305] Cohort A = 161 [143, 194] Log rank test P.Value =

RESULTS Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Cohorts Hazard ratio P- value [95% confidence Interval] Cohort Aref Cohort B [ ] Cohort C [ ]

DISCUSSION AND CONCLUSION Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Several studies found that economic inacessibility of social services in general and health services in particular is one of the main factor of underdevloppment This study confirm this point of vue and made a prouf that current health cost in Sapone is an obstacle to people well being

DISCUSSION AND CONCLUSION Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme Achieving MDGs, we need to imagine a health care protection which integrates the populations purchasing power. We have to do that because if Healthy condition has a cost we need also to be in health conditions to make money.

Projet de Développement de Vaccins Anti Paludiques Centre National de Formation et de Recherche sur le Paludisme