ArticleBMC primary care2026
Evaluating the technical efficiency of primary health facilities in delivering adolescent mental, sexual and reproductive health services in Burkina Faso.
Article in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundAdolescence is a critical phase of life, with sexual, reproductive, and mental health being essential to overall well-being. Despite global and national initiatives to improve adolescent health, substantial gaps persist in service delivery, especially in low-resource settings like Burkina Faso. Primary healthcare (PHC) facilities play a pivotal role in addressing adolescent mental, sexual, and reproductive health (AMSRH) needs. However, evidence on the technical efficiency of these facilities in delivering AMSRH services remains limited. This study evaluates the technical efficiency of PHC facilities in Burkina Faso in providing AMSRH services and identifies key factors influencing efficiency.
methodsA cross-sectional survey was conducted in 132 PHC facilities across the West-Central and Hauts Bassins regions of Burkina Faso from September to October 2022. Data on facility characteristics, resource availability, and service delivery were collected. Technical efficiency of ASRH services was assessed using Stochastic Frontier Analysis (SFA) with a Translog production function, while a truncated regression identified determinants of efficiency. The analysis included inputs such as laboratory tests, consultation rooms, and trained providers, with efficiency scores ranging from 0 to 1. Data analysis was performed using STATA 16.
resultsOf the surveyed facilities, 77% were in rural areas, and 23% were in urban areas. While all facilities offered adolescent sexual and reproductive health (ASRH) services, only 42% provided adolescent mental health (AMH) services, which were excluded from efficiency analysis due to low adolescent consultation numbers. Average technical efficiency was 0.66, with urban facilities (0.73) and those with electricity (0.71) showing higher efficiency. Access to electricity (Coef. = 0.061, p = 0.004) and laboratories (Coef. = 0.053, p = 0.020) significantly enhanced efficiency. These findings highlight critical infrastructure gaps and the need for targeted investments to optimize service delivery.
conclusionThis study highlights critical gaps in AMH service availability within PHC facilities in Burkina Faso. Key determinants of technical efficiency in delivering adolescent sexual and reproductive health ASRH services included access to electricity, laboratories, and trained providers. Conversely, longer facility manager tenure negatively impacted efficiency, emphasizing the need for dynamic leadership. Targeted investments in infrastructure, capacity-building initiatives, and digital health adoption are essential. Expanding AMH services and aligning with national guidelines are urgent priorities for optimizing AMSRH service delivery and improving adolescent health outcomes.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.