DOI: https://doi.org/10.36347/sjebm.2026.v13i03.008

Pages: 157-168

This article examines the impact of health initiatives on the performance of public and private hospital institutions in Burundi. The study focuses on four institutions : the Van Norman Clinic (CVN) and Kamenge Popular Hospital (HPK) in the private sector, and Prince Regent Charles Hospital (HPRC) and Kamenge University Hospital (CHUK) in the public sector. The primary objective of this study is to compare the performance of public and private hospitals in Burundi by evaluating the health initiatives they have implemented. Specifically, it aims to assess how these initiatives influence the quality of care, service efficiency, and patient satisfaction across these different types of institutions.The target population consists of 1,638 employees, distributed as follows: 730 employees at CHUK, 368 at HPRC, 360 at CVN, and 180 at HPK. The sample includes 41 employees from Kamenge University Hospital (CHUK), 20 from Prince Regent Charles Hospital (HPRC), 20 from Van Norman Clinic (CVN), and 10 from Kamenge Popular Hospital (HPK), totaling 91 participants. The results show that over 74% of employees in public and private hospitals (respectively 73.77% and 76.67%) actively participate in health initiatives. Approximately 85% believe that these initiatives have a significant impact, with 74.72% focusing on prevention. More than 77% have received training on these programs, and 72% perceive strong managerial support. About 87% consider that these initiatives improve the quality of care, while 90% see improvements in clinical outcomes. Finally, 78% support the development of recommendations to strengthen these efforts, and 78% are willing to participate in meetings on health initiatives, highlighting a strong institutional commitment in the health sector in Burundi. The study concludes that health initiatives play a pivotal role in hospital performance, though outcomes differ substantially between the private and public sectors. Private hospitals benefit from more efficien