Table 2 A fairly efficient implementation except for the lack of involvement of TBAs
Issues | District of Djibo | Empirical data |
|---|---|---|
Adequate funding | Yes | Funding covers the expenses of assisted deliveries, no difficulties in the reimbursement system was perceived by district managers |
Involving front line workers | No | Lack of involvement of health workers in the district, vertical process of transmission of information, execution implementation |
Incentive measures | Yes, but partially | Variation in the application of the incentive measures, 3/6 of health centres have applied the incentive measure |
Improvement of strategy of communication | No (remain unchanged) | Vertical process: from district to health centres to communities. Channels: prenatal care, vaccination sites, radio |
Improvement of the relation between provider and patient | No (remain unchanged) | Informal payments, rate of absenteeism, health workers not available |
Involving Traditional birth attendants and community health workers | No | Lack of involvement of TBAs, excluded from this national policy, loss of income for them |
Making feed back session results with stakeholders | Yes | Work groups organized, discussion of the results, perceptions of the findings, strategies to improve the policy |