8144188961

pyRKESAFĄSO

Bflggggc

Govemment of Burkina Faso

Beneficiaries: . Ministiy of Public Health and Social/Family Action

US$29.2 million (SDR 21.2 million)

Standard, with 40 years maturity

Project

ResgrjptiPli:

The project would assist the Govemment in its efforts to: (a) improve dgnificantly the ąuality, coverage and utilization of basie health services for the Burinnabe population, (b) enhance the nutritional status of the population, and (c) develop a national capacity for adiievmg sustainable control of endemic parasitic diseases. To achieve these objectives, the project would support policy reforms and investments designed to:

(1) lmprove guality. coverage. and utilization of health serWces by: (a) system pyramid throuph: (i) functional upgrading/constmction of health facilities and supervision of Staff operations and referrals at the primaiy and secondaiy levels (CSPS and CMAs) which comprise the "health district"; (ii) establishing an effective maintenance system for "district" facilities, and (iii) improving operations of regional and national hospitals (GHRs and CHNs); (b) rationalizinp use and promoting staff development bv: (i) establishing realisdc and efficient staffing nonns and formulating and implementing a staff redeploymeat action plan; (ii) sopporting in-service training for district medical officers in supenrision procedures; and (iii) upgrading skills of district level physicians in emergency surgical procedures; (c) decentralizing the Public health system by: (i) defining a country-wide system of health districts; (ii) providing for inereased autonomy in planning and budgeting at the district and sub-district levels; and (iii) providing for community co-management of primary health services; and (d) inereasing availabilitv of esscnĄi! Ąygff fry: (i)

supporting policy reforms and implementing actions to promote importation and distril throughout the health system of Iow cost ąuality geaeric drugs as a substitute for high cost specialty drugs; (ii) establishing an effective cost recovery policy which would ensure a sustained supply of essential drugs at the primary and secondaiy levels; and (iii) supporting the Espanded Program of Immunization (EPI) for infants and young children.

(2) Reduce micronutrient deficiencies bv: (a) supporting supplcmentation of vitarnin A, iodine, and iron in severe4y deficient areas; and (b) developing a longer-term, durable national strategy for reducing micronutrient deficiencies, which would include inter alia food foitification and dietary modification.

(3) Achieve and maintain control of en demie parasitic diseases bv: (a) streogthening the capadties of the health system to carry out epidemiological surveillance and treat detected cases of onchocerriasis (riverblindness), trypanosomiasis (sleeping sickness), and dracunculiasis (Guinea worm) through training and supervision of mobile teams and local health workers; and (b) sensitizing target populations regarding prevention of transmission of these three diseases through training and DSC campaigns, and

(4) Stgogthen thejdinistry ,9Łgubl.ig and. S^jgl/Fa^ly.Ąę^gn.(M§ASQ.bY: (a) enhancing and rationalizing its capacity to morę effectively control endemic parasitic diseases; (b) strengthening its capacity to implement the reform of the pharmaceutical sector, (c) establishing a management infonnation system to track physical assets and health persoond throughout the public health system; (d) improving capacity to coordinate and monitor donor-suppoited health projecta; and (e) enhancing capacity to coordinate implementation of PDSN.