The aim of this article is to analyse the types of conflict that exist in the villages and how they influence participation relationship. The study took place in the Fada and Léo health districts. The Fada N’Gourma health district is located in the Est health region. The Fada N’Gourma health district is located in the Eastern region and covers the entire N’Gourma province. Two categories of people were included in the study. These were the members Health committees of the localities forming the framework of the study. Three board members were selected: the president, the general secretary and the treasurer. In addition to Health C ommittees’ members, heads of households were also included in the study. The conflicts identified during the study have been grouped into three main categories: conflicts between villages, political conflicts, conflicts in health committees. These conflicts have caused a crisis of legitimacy of traditional power, weak functioning of health committees, difficulties in collaboration between villages and between populations. These conflict relationships negatively influence collaborative relationships which slow down the dynamics of community participation in health in the study area.
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