Despite real progress, child mortality in Burkina Faso remains very high due to poor access to health services, especially in rural areas. Community-based health workers (CBHWs), who are supposed to offer initial advice and health care to people living far from health centres, are poorly equipped and their services are often of poor quality.

The authorities have adopted the Integrated Management of Childhood Illness (PCIME) strategy, which is implemented at the community level by CBHWs. They need to be trained and supervised regularly, but due to lack of resources, this is not always the case.

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