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Work was done in the areas of infrastructure, of human resource development, and of medical
supplies. The utilization rate of itinerant curative services which represent the number of annual
visits per capita, increased from 38% in 2005 to 79% in 2008, is indicative of the broadening of the
access to health services for the population.
In the area of infrastructure should be cited the setting up of bio-medical equipment in 10 Health
Centres (CdS) and 23 Hospitals, the electrification of 8 CdS and that of 18 others which are ongoing,
the maintenance of 8 generators in the BPS, the installation of two generators in the Ministry of
Public Health and the provision of water supplies for 3 CdS. Likewise, studies have been carried out
on the construction of two hospitals, and the rehabilitation of 9 CdS. The collection of data has been
initiated on the state of health institutions in the 17 health Provinces of the country for their future
rehabilitation. Also worth mentioning is the construction of rooms and the routine maintenance and
servicing of equipment (including biomedical equipment, computing and carting equipment).
In the area of Human Resources, the picture is rather worrying. In effect, despite the increased
consultations in the Health Centres, the number of health staff is not increasing and their working
conditions are becoming more and more difficult. All in all in Burundi there are only 201 Doctors of
whom 87 are in the public sector and 114 in the private sector and the NGOs. Out of the 87 Doctors
working in the public sector, 46 of them, namely 52% are administrators based in Bujumbura and in
the County Towns of the Provinces. In all, 90 % of the Doctors work in the urban areas. Likewise,
27.34% of the paramedics are in the Capital.
Finally only 42.62% of the Medical Technicians serve 90% of the population. In 2007, the gap
between the medical staff strength required by international standards and the staff component
actually available was 1,282 individuals. There is need therefore to increase the medical staff by
more than 340% category-wise in order to reasonably provide the health system in Burundi with
qualified human resources, it being understood that the shortages are greater at the Specialists’
level.
Within the framework of the implementation of the 2007-2009 Human Resources Action Plan, the
following achievements were registered in 2008, namely:
(i) Beginning of the drafting process of the human resources policy and development plans,
(ii) Training reforms in the paramedical schools,
(iii) Training of Doctors in emergency surgical-obstetrician interventions,