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Problem In Burkina Faso, the coverage of services for family planning is low due to shortage of qualified health staff and limited access to services. Approach Following the launch of the Ouagadougou Partnership, an alliance to catalyse the expansion of family planning services, the health ministry created a consortium of family planning stakeholders in 2011. The consortium adopted a collaborative framework to implement a pilot project for task sharing in family planning at community and primary health-care centre levels in two rural districts. Stakeholders were responsible for their areas of expertise. These areas included advocacy; monitoring and evaluation; and capacity development of community health workers (CHWs) to offer oral and injectable contraceptives to new users and of auxiliary nurses and auxiliary midwives to provide implants and intrauterine devices. The health ministry implemented supportive supervision cascades involving relevant planning and service levels. Local setting In Burkina Faso, only 15% (2563/17 087) of married women used modern contraceptives in 2010. Relevant changes Adoption of new policies and clinical care standards expanded task sharing roles in family planning. The consortium trained a total of 79 CHWs and 124 auxiliary nurses and midwives. Between January 2017 and December 2018, CHWs provided injectables to 3698 new users, and auxiliary nurses or midwives provided 726 intrauterine devices and 2574 implants to new users. No safety issues were reported. Lessons learnt The pilot project was feasible and safe, however, financial constraints are hindering scale-up efforts. Supportive supervision cascades were critical in ensuring success. Probleme Au Burkina Faso, la couverture des services de planification familiale est faible, en raison de la penurie de personnel de sante qualifie et de l'acces limite a ces services. Approche Suite au lancement du Partenariat de Ouagadougou, alliance destinee a accelerer l'expansion des services de planification familiale, le ministere de la Sante a cree en 2011 un consortium d'acteurs de la planification familiale. Ce consortium a adopte un cadre collaboratif pour mettre en reuvre un projet pilote visant a partager les taches de planification familiale, aux niveaux de la communaute et des centres de soins primaires, dans deux districts ruraux. Les differents acteurs etaient responsables de leurs domaines d'expertise, parmi lesquels la sensibilisation, le suivi et revaluation, ainsi que le renforcement des competences des agents de sante communautaires, afin de proposer des contraceptifs oraux et injectables a de nouvelles utilisatrices, et des aides-soignants et sages-femmes auxiliaires, dans le but de poser des implants et des dispositifs intra-uterins. Le ministere de la Sante a mis en place des structures d'encadrement faisant intervenir les niveaux concernes de planification et de services. Environnement local Au Burkina Faso, seules 15% (2563/17 087) des femmes mariees utilisaient des contraceptifs modernes en 2010. Changements significatifs L'adoption de nouvelles politiques et de nouveaux standards de soins a elargi les roles de partage des taches en matiere de planification familiale. Le consortium a forme un total de 79 agents de sante communautaires et de 124 aides-soignants et sagesfemmes auxiliaires. Entre janvier 2017 et decembre 2018, les agents de sante communautaires ont delivre des contraceptifs injectables a 3698 nouvelles utilisatrices, et les aides-soignants et sages-femmes auxiliaires ont pose 726 dispositifs intra-uterins et 2574 implants a de nouvelles utilisatrices. Aucun probleme de securite n'a ete signale. Lecons tirees Ce projet pilote etait realisable et sur; cependant, des contraintes financieres entravent les efforts devolution. Les structures d'encadrement ont ete essentielles a la reussite de ce projet. Situacion En Burkina Faso, la cobertura de los servicios de planificacion familiar es baja debido a la escasez de personal sanitario cualificado y al acceso limitado a los servicios. Enfoque Tras la puesta en marcha de Ouagadougou Partnership (la Asociacion de Uagadugu), una alianza para promover la expansion de los servicios de planificacion familiar, el Ministerio de Salud creo en 2011 un consorcio de interesados en la planificacion familiar. El consorcio adopto un marco de colaboracion para ejecutar un proyecto piloto de distribucion de tareas en materia de planificacion familiar a nivel comunitario y de centros de atencion primaria de la salud en dos distritos rurales. Las partes interesadas eran responsables de sus areas de especializacion. Estas areas incluian la promocion, la vigilancia y la evaluacion, y el desarrollo de la capacidad de los trabajadores sanitarios de la comunidad (community health workers, CHW) para ofrecer anticonceptivos orales e inyectables a los nuevos usuarios, asi como de los enfermeros auxiliares y las parteras auxiliares para proporcionar implantes y dispositivos intrauterinos. El Ministerio de Salud implemento cascadas de supervision de apoyo que involucran niveles relevantes de planificacion y servicio. Marco regional En Burkina Faso, solamente el 15 % (2 563/17 087) de las mujeres casadas utilizaron anticonceptivos modernos en 2010. Cambios importantes La adopcion de nuevas politicas y estandares de atencion clinica expandio la distribucion de tareas en la planificacion familiar. El consorcio capacito a un total de 79 CHW y 124 enfermeros y parteras auxiliares. Entre enero de 2017 y diciembre de 2018, los CHW administraron inyectables a 3 698 nuevas usuarias, y los enfermeros auxiliares o parteras suministraron 726 dispositivos intrauterinos y 2 574 implantes a las nuevas usuarias. No se informo de ningun problema de seguridad. Lecciones aprendidas El proyecto piloto era viable y seguro; sin embargo, las limitaciones financieras estan obstaculizando los esfuerzos de ampliacion. Las cascadas de supervision de apoyo fueron fundamentales para garantizar el exito., Introduction Family planning is recognized as a cost-effective intervention for curbing issues within sexual and reproductive health, improving women's status and increasing women's capacities to contribute to family income. (1,2) [...]

Summary: Objectives: Our study aimed to update the seroprevalence and factors associated with anti‐dengue virus (DENV) antibody positivity among blood donors and to discuss their implications for blood supply. Background: Questions on the potential transmission of DENV by transfusion increased after the documentation of the risk of transmission of the West Nile virus. This risk was estimated after transfusion of DENV RNA‐positive blood units of up to 37.5%. In Burkina Faso, very few studies on DENV in blood donors have been conducted. As a result, there were no reliable data on DENV to allow the implementation of appropriate measures to control the risk of transmission of the dengue virus by blood transfusion. Methods: We conducted a 4‐week cross‐sectional study from December 4 to 30, 2016. Blood donors of both genders, aged 18‐60 years, accepted for blood donation after medical selection were consecutively enrolled. Results: Our study included a total of 1007 blood donors, in which donors living in urban areas represented 78.2%. The mean age was 26.1 ± 8.1 years. After adjustment in a multiple regression logistic model, the odds of having IgG anti‐DENV increased as age increased. The odds of DENV was 53% lower in rural areas (OR = 0.47; P =.000) compared to urban settings and 42% lower in mobile sites (OR = 0.58; P =.03) compared to fixed ones. Conclusion: Our study provides new and useful insights for future research on the risk of TT‐DENV throughout blood transfusion. [ABSTRACT FROM AUTHOR]