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首页> 外文期刊>BMC International Health and Human Rights >Challenges of scaling up and of knowledge transfer in an action research project in Burkina Faso to exempt the worst-off from health care user fees
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Challenges of scaling up and of knowledge transfer in an action research project in Burkina Faso to exempt the worst-off from health care user fees

机译：布基纳法索一项行动研究项目中扩大规模和知识转移所面临的挑战，以使最贫困者免于支付医疗保健使用费

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BackgroundSystems to exempt the indigent from user fees have been put in place to prevent the worst-off from being excluded from health care services for lack of funds. Yet the implementation of these mechanisms is as rare as the operational research on this topic. This article analyzes an action research project aimed at finding an appropriate solution to make health care accessible to the indigent in a rural district of Burkina Faso.ResearchThis action research project was initiated in 2007 to study the feasibility and effectiveness of a community-based, participative and financially sustainable process for exempting the indigent from user fees. A interdisciplinary team of researchers from Burkina Faso and Canada was mobilized to document this action research project.Results and knowledge sharingThe action process was very well received. Indigent selection was effective and strengthened local solidarity, but coverage was reduced by the lack of local financial resources. Furthermore, the indigent have many other needs that cannot be addressed by exemption from user fees. Several knowledge transfer strategies were implemented to share research findings with residents and with local and national decision-makers.Partnership achievements and difficultiesUsing a mixed and interdisciplinary research approach was critical to grasping the complexity of this community-based process. The adoption of the process and the partnership with local decision-makers were very effective. Therefore, at the instigation of an NGO, four other districts in Burkina Faso and Niger reproduced this experiment. However, national decision-makers showed no interest in this action and still seem unconcerned about finding solutions that promote access to health care for the indigent.Lessons learnedThe lessons learned with regard to knowledge transfer and partnerships between researchers and associated decision-makers are: i) involve potential users of the research results from the research planning stage; ii) establish an ongoing partnership between researchers and users; iii) ensure that users can participate in certain research activities; iv) use a variety of strategies to disseminate results; and v) involve users in dissemination activities.
机译：已经建立了免除居民使用费的背景系统，以防止由于资金不足而将最贫困者排除在医疗服务之外。然而，这些机制的实施与该主题的运筹学一样罕见。本文分析了一项行动研究项目，旨在找到合适的解决方案，使布基纳法索农村地区的居民能够获得医疗保健服务。这项研究于2007年启动，旨在研究以社区为基础的，参与式以及在财务上可持续的流程，以免用户使用费。动员了来自布基纳法索和加拿大的跨学科研究人员团队对该行动研究项目进行记录。结果和知识共享行动过程受到了广泛好评。甄选是有效的，并加强了当地的团结，但由于缺乏地方财政资源，覆盖范围减少了。此外，穷人还有许多其他需求无法通过免除使用费来解决。实施了几种知识转移策略，以与居民以及地方和国家决策者共享研究成果。合作成果和困难使用混合和跨学科的研究方法对于掌握这一基于社区的过程的复杂性至关重要。通过该程序并与当地决策者建立伙伴关系非常有效。因此，在一个非政府组织的鼓动下，布基纳法索和尼日尔的其他四个地区进行了该实验。然而，国家决策者对此行动不感兴趣，并且似乎仍然不关心寻找解决方案以促进穷人获得医疗保健。经验教训在研究人员与相关决策者之间的知识转移和伙伴关系方面吸取的教训是： ）让研究计划阶段的研究结果的潜在用户参与; ii）在研究人员和用户之间建立持续的合作关系; iii）确保用户可以参加某些研究活动; iv）使用各种策略来传播结果; v）让用户参与传播活动。

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