[Community involvement in tuberculosis care in three rural health districts of Burkina Faso].
OBJECTIVE
Develop, implement and evaluate a form of community involvement in TB care in three rural health districts (DS).


METHODS
Profiles of community representatives were identified within the therapeutic itineraries of TB patients (PATB). Community contributions have been made in a specific context via a committee of community resource persons. The results of patients' care and management were compared over time (2005 to 2007) and space (comparison made with 3 other DS controls).


RESULTS
The multifaceted community interventions (material and psycho-social support to patients) have been integrated into the regular management plan for PATB. In the first 12 months, the detection and cure rates have increased significantly in the intervention area, before stabilizing over the course of the following 12 months.


CONCLUSIONS
Community involvement in care can strengthen the capacity of health services to respond and meet the expectations of PATB, including for those with chronic diseases. It requires a coherent distribution of tasks amongst all actors and stakeholders and balance of power relationships between different contributors to care.
Institut de Recherche en Sciences de la Santé de Bobo-Dioulasso, 01 BP 545 Bobo-Dioulasso, Burkina Faso.
Maxime
M
Drabo
Roger
R
Zerbo
Abdramane
A
Berthe
Laurent
L
Ouedrago
Salif
S
Konfe
Etienne
E
Mugishe
Bruno
B
Dujardin
Jean
J
Macq
D002050:Burkina Faso; D006801:Humans; D019035:Rural Health Services; D012424:Rural Population; D014376:Tuberculosis / Q000453:epidemiology / Q000628:therapy*
Implication communautaire aux soins tuberculeux dans 3 districts sanitaires du Burkina Faso.