Satisfaction des parents accompagnateurs des enfants de moins de 5 ans pris en charge au centre médical de Kokologho au Burkina Faso

La satisfaction des usagers des centres medicaux (CM) au Burkina Faso n’est pas connue. Notre objectif etait d´etudier le niveau de satisfaction et les facteurs associes des parents accompagnateurs des enfants de moins de 5 ans pris en charge au CM de Kokologho en 2018. Il s’est agi d’une etude transversale. Realisee dans l’aire de sante du CM de Kokologho, les cibles etaient les parents accompagnateurs d’enfants de moins de 5 ans pour l´enquete menage et pour les entretiens qualitatifs les representants de la communaute, les agents de sante et les leaders administratifs et coutumiers. Les outils de collecte des donnees ont ete construits a partir des referentiels (SAPHORA-job 2014, conseil Quebecois d’Agrement 2005). Des scores de satisfaction, Odds Ratio ajustees et IC95 % ont ete calcules. Des analyses thematiques ont ete effectuees. Le niveau de satisfaction globale des parents accompagnateurs des enfants pris en charge au CM de Kokologho en 2018 etait satisfaisant (70,6 %). Les dimensions etudiees etaient l’accueil (47,2 %), le respect (65,3 %), l’empathie (60,5 %), la confidentialite (73,8 %), la fiabilite (71,9 %), la rapidite (51,4 %), le confort (89,0 %), l’accessibilite geographique (97,5 %) et l’accessibilite financiere (28,5 %). Le niveau d’instruction non scolarise, le sexe feminin et la situation matrimoniale mariee etaient significativement associes a la satisfaction globale des parents. Les usagers sont satisfaits des services du CM de Kokologho. Cependant, des efforts doivent etre faits pour ameliorer l’accueil, la rapidite de l’offre de service et l’accessibilite financiere.Mots-cles: Satisfaction - parents accompagnateurs - enfants - Burkina FasoEnglish AbstractIntroduction: The satisfaction of users of medical centers in Burkina Faso is not known. Our aim was to study the level of satisfaction and associated factors of the accompanying parents of children under five years taken care in Kokologho medical center in 2018. It was a cross-sectional study. Conducted in the Kokologho medical center health area, the targets were the accompanying parents of children under 5 years for the household survey and for the qualitative interviews community representatives, health workers and administrative and community leaders, customary. The data collection tools were built from the repositories (SAPHORA-job 2014, Conseil Quebecois d'Agrement 2005). Satisfaction scores, adjusted Odds Ratio and 95% CI were calculated. Thematic analyzes were carried out. The overall level of satisfaction of the parents of the children in the Kokologho medical center in 2018 was satisfactory at 70.6%. The studied dimensions were patient reception (47.2%), respect (65.3%), empathy (60.5%), confidentiality (73.8%), reliability (71.9%), speed (51.4%), comfort (89.0%), geographical accessibility (97.5%) and affordability (28.5%). Level of education gender and marital status were significantly associated with overall parental satisfaction. Users are satisfied with the services in Kokologho medical center. However, to continue the structural transformation efforts of the district health system, efforts must be made to improve reception, speed of service delivery and affordability.Keywords: satisfaction - accompanying parents - children - Burkina Faso