{"doc_desc":{"title":"Les probl\u00e8mes n\u00e9glig\u00e9s des syst\u00e8mes de sant\u00e9 au NIGER (2012-2015)","idno":"IRDC106949","producers":[{"name":"DataFirst","abbreviation":"","affiliation":"University of Cape Town","role":"Metadata Producer"}],"prod_date":"2020-06-18","version_statement":{"version":"Version 2"}},"study_desc":{"title_statement":{"idno":"ner-lasdel-pnss-2013-2014-v1","title":"Neglected Issues Relating to Niger Health Systems 2013-2014","alt_title":"PNSS 2013-2014","translated_title":"Les probl\u00e8mes n\u00e9glig\u00e9s des syst\u00e8mes de sant\u00e9 au Niger 2013-2014"},"authoring_entity":[{"name":"Laboratoire d'Etudes et de Recherche sur les Dynamiques Sociales et le D\u00e9veloppement Local (LASDEL)","affiliation":""}],"production_statement":{"producers":[{"name":"Ali Bako","affiliation":"LASDEL","role":"Communicateur"},{"name":"Aissa Diarra","affiliation":"LASDEL","role":"Responsable du projet Open Data"}],"funding_agencies":[{"name":"International Development Research Centre","abbreviation":"IDRC","role":"funding agency"}],"grant_no":"IRDC106949"},"distribution_statement":{"distributors":[{"name":"LASDEL","abbreviation":"LASDEL","affiliation":"LASDEL","uri":""}],"contact":[{"name":"DataFirst Helpdesk","affiliation":"University of Cape Town","email":"support@data1st.org","uri":"http:\/\/support.data1st.org\/"}]},"series_statement":{"series_name":"Health Survey [hs]","series_info":"Laboratoire d'Etudes et de Recherche sur les Dynamiques Sociales et le D\u00e9veloppement Local (LASDEL). Neglected Issues Relating to Niger Health Systems 2013-2014 [dataset]. Version 1. Niamey: LASDEL [producer], 2016. Cape Town: DataFirst [distributor], 2017. DOI: https:\/\/doi.org\/10.25828\/c8hm-0g81"},"version_statement":{"version":"Version 1: Edited, anonymised data for public distribution","version_date":"2016"},"study_info":{"keywords":[{"keyword":"Niger","vocab":"","uri":""},{"keyword":"public health","vocab":"","uri":""}],"abstract":"Neglected Issues Relating to African Health Systems: An Incentive for Reform\n\nInequalities in access to and quality of health services result in poorer health for disadvantaged groups. In West Africa, poor access to health care has been linked to increased mortality of children under five. Several issues that affect access to and quality of health care for the poor and vulnerable in West Africa are neglected because of systemic \"blind spots\" - issues that are not covered by regular investigative protocols, are not questioned because they are part of well-established routines, or conflict with other interests. They include practices that don't comply with official standards, bottlenecks within healthcare organizations, and shortcomings in implementing healthcare policies in the field.Even when these issues are discussed, the lack of reliable data makes it difficult to propose and implement workable solutions. These neglected issues need to be properly documented, shared, and discussed publicly to foster reform that will improve the quality of health care, especially for the most vulnerable.\n\nThis project includes six sub-projects on issues concerning the health care system that affect access to and quality of care in Niger. Results will then link to reform efforts. Researchers will tackle key issues that have direct implications on the quality of care available to vulnerable populations, including daily service delivery, women's health, decentralization, and sustainability. Research undertaken in Niger will  build a comprehensive picture of what is needed to reform a national health system. Local health professionals and public health officials will participate in studies and provide an insider's perspective on how the system is actually functioning. The project will strengthen the skills of West African researchers in the social anthropology of health, promote mentoring of young African researchers, and improve the quality of empirical social sciences research conducted in Africa. It will also provide researchers, health care professionals, and community activists with a forum for discussion and will bring these issues to the attention of public health officials and health professionals. Several training activities involving students, PhD students and health care workers will be incorporated in the ongoing work. Conferences will be held at local, district and national levels to share the results of the six research projects. Results will also be released internationally to francophone and anglophone scientific and academic communities, and to the media through reports, articles, and other publications. \n\nLes probl\u00e8mes n\u00e9glig\u00e9s des syst\u00e8mes de sant\u00e9 en Afrique : une incitation aux r\u00e9formes\n\nTexte diffus\u00e9 sur le site de l'IDRC <https:\/\/www.idrc.ca\/fr\/project\/les-problemes-negliges-des-systemes-de-sante-en-afrique-une-incitation-aux-reformes>\nLes in\u00e9galit\u00e9s dans l'acc\u00e8s aux services de sant\u00e9 et les disparit\u00e9s dans leur qualit\u00e9 se r\u00e9percutent sur la sant\u00e9 des groupes d\u00e9favoris\u00e9s. En Afrique de l'Ouest, on a \u00e9tabli des liens entre la difficult\u00e9 d'acc\u00e8s aux services de sant\u00e9 et l'augmentation de la mortalit\u00e9 chez les enfants de moins de cinq ans.\nEn raison de lacunes syst\u00e9miques, on n\u00e9glige plusieurs probl\u00e8mes - qui \u00e9chappent aux protocoles d'enqu\u00eates habituels, qui ne sont pas remis en question parce qu'ils rel\u00e8vent de routines bien \u00e9tablies ou qui entrent en conflit avec d'autres int\u00e9r\u00eats \u00e9tablis - influant sur l'acc\u00e8s des populations pauvres et vuln\u00e9rables aux services de sant\u00e9 en Afrique de l'Ouest ainsi que la qualit\u00e9 des services. Ces probl\u00e8mes comprennent notamment des pratiques non conformes aux normes officielles, des goulots d'\u00e9tranglement au sein des organismes de sant\u00e9 et des lacunes dans la mise en oeuvre des politiques de sant\u00e9 sur le terrain.\nLorsqu'on en vient \u00e0 discuter de ces probl\u00e8mes, il est difficile de proposer et de mettre en place des solutions r\u00e9alistes en raison du manque de donn\u00e9es fiables. Il importe donc de bien documenter ces probl\u00e8mes n\u00e9glig\u00e9s, de les communiquer et d'en discuter publiquement pour susciter des r\u00e9formes susceptibles d'am\u00e9liorer la qualit\u00e9 des services de sant\u00e9, surtout pour les groupes les plus vuln\u00e9rables.\n\nCe financement soutiendra six projets de recherche qui \u00e9tudieront les probl\u00e8mes d'un syst\u00e8me de sant\u00e9 influant sur l'acc\u00e8s aux services et leur qualit\u00e9. On s'appliquera ensuite \u00e0 traduire les r\u00e9sultats en tentatives de r\u00e9forme. Les chercheurs examineront les principales questions qui se r\u00e9percutent directement sur la qualit\u00e9 des services offerts aux populations vuln\u00e9rables : prestation de services au quotidien, sant\u00e9 des femmes, d\u00e9centralisation, durabilit\u00e9, etc. La recherche sera entreprise au Niger afin d'obtenir une image compl\u00e8te des \u00e9l\u00e9ments n\u00e9cessaires \u00e0 la r\u00e9forme d'un syst\u00e8me national de sant\u00e9. Les professionnels de la sant\u00e9 et les responsables de la sant\u00e9 publique participeront aux \u00e9tudes et expliqueront le fonctionnement r\u00e9el du syst\u00e8me.\n\nLe projet viendra renforcer les capacit\u00e9s des chercheurs d'Afrique de l'Ouest en socio-anthropologie de la sant\u00e9, favoriser le mentorat de jeunes chercheurs africains et am\u00e9liorer la qualit\u00e9 des recherches empiriques en sciences sociales men\u00e9es en Afrique. Il constituera aussi une plateforme d'\u00e9changes pour les chercheurs, les professionnels de la sant\u00e9 et les militants associatifs, et permettra d'attirer l'attention des responsables de la sant\u00e9 publique et des professionnels de la sant\u00e9 sur ces questions.\nLes travaux comprendront plusieurs activit\u00e9s de formation destin\u00e9es aux \u00e9tudiants, aux doctorants et aux professionnels de la sant\u00e9. On organisera des conf\u00e9rences \u00e0 l'\u00e9chelle locale, des districts et nationale pour communiquer les r\u00e9sultats des six projets de recherche. Les r\u00e9sultats seront \u00e9galement diffus\u00e9s aux milieux scientifiques et universitaires anglophones et francophones ainsi qu'aux m\u00e9dias sous forme de rapports, d'articles et d'autres publications.","coll_dates":[{"start":"2013-05","end":"2014-05","cycle":""}],"nation":[{"name":"Niger","abbreviation":"ner"}],"geog_coverage":"The survey has national coverage","geog_unit":"The lowest level of geographic aggregation covered by the data is village","analysis_unit":"Individuals and establishments","universe":"The survey targeted health professionals and patients (professionnels de sant\u00e9, usages)","data_kind":"Qualitative data"},"method":{"data_collection":{"coll_mode":"Face-to-face [f2f]"}},"data_access":{"dataset_use":{"contact":[{"name":"DataFirst","affiliation":"University of Cape Town","email":"support@data1st.org","uri":"www.support.data1st.org"}],"cit_req":"Laboratoire d'Etudes et de Recherche sur les Dynamiques Sociales et le D\u00e9veloppement Local (LASDEL). Neglected Issues Relating to Niger Health Systems 2013-2014 [dataset]. Version 1. Niamey: LASDEL [producer], 2016. Cape Town: DataFirst [distributor], 2017. DOI: https:\/\/doi.org\/10.25828\/c8hm-0g81","conditions":"Public use files, available to all"}}},"schematype":"survey"}