In Burkina Faso, violence has increased significantly throughout 2019 due to recurrent attacks from armed groups, which has raised the number of internally displaces persons (IDPs) exponentially. Since the beginning of 2019, a total of 238 armed attacks resulting in 1,041 deaths (71% civilians) and 249 wounded have been reported. At the end of 2018, the government declared a state of emergency in 14 provinces of the 6 regions of the country. The IDPs are located in 88 municipalities in the 13 regions of the country. Five regions (Sahel, North Central, North, Boucle du Mouhoun and East) are the most affected by the crisis. A deterioration of the situation, with an extension of the affected areas, is expected. The majority of the IDPs are made up of women (35.7%) and children (48.7%). These IDPs are mainly located in the North Central (55.61%) and Sahel (33.05%).
In this situation, the proposed solution aims at reducing health risks among displaced populations through improved access to healthcare, as the health system is particularly affected by the increase in violence in the areas of insecurity, mainly in terms of logistics, human resources and input supply. According to the Ministry of Health, more the 1 million persons were deprived of access to healthcare following the closure of 85 health facilities and with 148 health facilities with reduced functionality. Ongoing programmes in these regions (vaccination, malaria, malnutrition, HIV, tuberculosis, etc.), as well as other health activities for the management of chronic diseases (diabetes), are highly disturbed. In addition, due to reduced access (closed health centres and night driving bans) pregnant women have even less access to childbirth assisted by a skilled attendant in a health centre, increasing significantly the risk of maternal and neonatal mortality. Displacement can also have consequences on the interruption of disease treatment (hypertension, diabetes, asthma, HIV/AIDS, tuberculosis) resulting in their aggravation.
The aim of the solution is to contribute to reducing the risk of morbidity and mortality among populations affected by the humanitarian crisis in support for actions conducted by health authorities and other partners of the Health and Safety Humanitarian Group in Burkina Faso. It plans to provide emergency health care (curative, preventive and promotional) to populations affected by the humanitarian crisis, and to increase access of the population to health services in areas affected by the humanitarian crisis and/or in a situation of prolonged displacement, including host families.
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