Kefilath Bello

• Centre de Recherche en Reproduction Humaine et en Demographie

Introduction: Vaccination against COVID-19 is an essential tool in the fight against the pandemic, but adherence to vaccination programmes is a major challenge, particularly in African countries. This study aimed to identify determinants of uptake of the first dose of COVID-19 vaccine using large-scale data collected from the Beninese population. M...

Background In Benin, the number of primary care physicians (PCPs) is increasing. This phenomenon challenges the current prevailing policy of task shifting from physicians to nurses adopted in Benin’s primary care system and raises a few questions. To date, information on PCPs and their practices remains scarce. This study aims to describe current P...

Introduction In Benin, policies for guiding the practices of primary care physicians (PCPs) are sparse and incomplete. This leads to sub-optimal use of these relatively rare human resources and reduces their potential contribution to people’s health and well-being. In this study, a policy framework guiding PCPs’ practice in Benin is developed in co...

Introduction In Benin, as in many African countries, there is a gradual increase in physicians practising at the primary care level. A literature review showed that these primary care physicians (PCPs) have great potential for improving the quality of care. However, several conditions are necessary for this potential to be unlocked and for the PCPs...

In 2008, Benin government launched a national health insurance scheme, but this had been suspended in 2017. We aim to understand how existing ideas and institutions, stakeholders’ behaviour and their interests shaped policy-making process and policy content, from its launch to its suspension. Methods We used a case study design, framed by the poli...

Introduction The development of COVID-19 vaccines has brought considerable hope for the control of the pandemic. With a view to promoting good vaccine coverage, this study aimed to measure vaccine intention against COVID-19 and to understand the factors that promote it. Method In April 2021, we conducted a cross-sectional and analytical study at t...

Introduction In sub-Saharan Africa, there is a need to better understand and guide the practice of primary care physicians (PCPs), especially in a crisis context like the COVID-19 pandemic. This study analyses the experiences of PCPs facing COVID-19 in Benin and draws policy lessons. Methods The study followed a fully mixed sequential dominant sta...

Objective To assess the implementation of the Maternal and Perinatal Death Surveillance and Response (MPDSR) strategy institutionalized in Benin in 2013 to address the alarmingly high maternal and neonatal death rates. Methods A retrospective, mixed‐methods study was performed. We used all maternal and neonatal death notifications and reviews from...

Background Insufficient reductions in maternal and neonatal deaths and stillbirths in the past decade are a deterrence to achieving the Sustainable Development Goal 3. The majority of deaths occur during the intrapartum and immediate postnatal period. Overcoming the knowledge-do-gap to ensure implementation of known evidence-based interventions dur...

Background Progress towards universal health coverage (UHC) is an inherently political process. Political economy analysis (PEA) is gaining momentum as a tool to better understand the role of the political and economic dimensions in shaping and achieving UHC in different contexts. Despite the acknowledged importance of actors and stakeholders in po...

Introduction In sub-Saharan Africa (SSA), the physicians’ ratio is increasing. There are clear indications that many of them have opted to work at the first-line of healthcare delivery systems, i.e. providing primary care. This constitutes an important change in African healthcare systems where the first line has been under the responsibility of nu...

L’analyse des politiques aide les acteurs gouvernementaux, activistes, chercheurs, acteurs du développement et autres parties prenantes à comprendre comment, sous l’influence de qui et pourquoi certaines politiques sont adoptées et promulguées, quels sont les effets de ces politiques et pourquoi ces effets sont obtenus [1]. L’analyse des politiques...

It is very exceptional that a new disease becomes a true pandemic. Since its emergence in Wuhan, China, in late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes COVID-19, has spread to nearly all countries of the world in only a few months. However, in different countries, the COVID-19 epidemic takes variabl...

It is very exceptional that a new disease becomes a true pandemic. Since its emergence in Wuhan, China, in late 2019, SARS-CoV-2, the virus that causes COVID-19, has spread to nearly all countries of the world in only a few months. However, in different countries, the COVID-19 epidemic takes variable shapes and forms in how it affects communities....

The journey to universal health coverage (UHC) is full of challenges, which to a great extent are specific to each country. ‘Learning for UHC’ is a central component of countries’ health system strengthening agendas. Our group has been engaged for a decade in facilitating collective learning for UHC through a range of modalities at global, regional...

The journey to universal health coverage (UHC) is full of challenges, which to a great extent are specific to each country. ‘Learning for UHC’ is a central component of countries’ health system strengthening agendas. Our group has been engaged for a decade in facilitating collective learning for UHC through a range of modalities at global, regional...

Background: Reducing maternal mortality still remains a major challenge in low-income countries. This study aimed at exploring how digital communication tools can be used to evaluate the maternal deaths surveillance and response (MDSR) system at the health district level in Guinea. Methods: A descriptive cross-sectional study was conducted, using...

BACKGROUND Improving capacities of health systems to quickly respond to emerging health issues, requires a health information system (HIS) that facilitates evidence-informed decision-making at the operational level. In many sub-Saharan African countries, HIS are mostly designed to feed decision-making purposes at the central level with limited feed...

Training, motivating and retaining human resources is crucial for the improvement of health outcomes, especially in low and middle-income countries (LMICs) where human resources availability and management have been recognized as one of the key health system’s barriers to the achievement of the Millennium Development Goals. In recognition of the li...