Healthcare system’s preparedness to provide cardiovascular and diabetes-specific care in the context of geopolitical crises in Burkina Faso: a trend analysis from 2012 to 2018

Objective This study aimed to evaluate the trends of the availability and readiness of the healthcare system to provide cardiometabolic (cardiovascular diseases (CVD) and diabetes) services in Burkina Faso in multiple political and insecurity crises context.Design We performed a secondary analysis of repeated nationwide cross-sectional studies in Burkina Faso.Data source Four national health facility survey data (using WHO Service Availability and Readiness Assessment (SARA) tool) conducted between 2012 and 2018 were used.Participants In 2012, 686 health facilities were surveyed, 766 in 2014, 677 in 2016 and 794 in 2018.Primary and secondary outcome measures The main outcomes were the availability and readiness services indicators defined according to the SARA manual.Results Between 2012 and 2018, the availability of CVD and diabetes services significantly increased (67.3% to 92.7% for CVD and 42.5% to 54.0% for diabetes). However, the mean readiness index of the healthcare system to manage CVD decreased from 26.8% to 24.1% (p for trend