The objective of the health system revitalization undergone in Benin and Guinea since 1986 is to improve the eectiveness of primary health care at the periphery. Second in a series of ®ve, this article presents the results of an analysis of data from the health centres involved in the Bamako Initiat
Health seeking behaviour and household health expenditures in Benin and Guinea: the equity implications of the Bamako Initiative
✍ Scribed by Agnes Soucat; Timothee Gandaho; Daniel Levy-Bruhl; Xavier de Bethune; Eusebe Alihonou; Christine Ortiz; Placide Gbedonou; Paul Adovohekpe; Ousmane Camara; Jean-Michel Ndiaye; Boubacar Dieng; Rudolf Knippenberg
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 411 KB
- Volume
- 12
- Category
- Article
- ISSN
- 0749-6753
No coin nor oath required. For personal study only.
✦ Synopsis
Curative and preventive care utilization in Bamako Initiative health centres in Guinea and Benin increased signi®cantly. Service based data and household survey results are compared and interpreted to evaluate the equity aspects of the Bamako Initiative programmes in these settings. Improvements in the use of preventive services are shared by the richer and poorer groups of the population. Inequities are more apparent regarding curative care. An important part of the population is not using Bamako Initiative Health Centres for ®nancial reasons. However, the poor were found to use these Health Centres relatively more than richer socio-economic groups. Challenges of the future are identi®ed and recommendations made as to how to tackle the problem of true indigence. &1997 by John Wiley & Sons, Ltd.
📜 SIMILAR VOLUMES
Two West African countries, Benin and Guinea, have been reorganizing their peripheral health systems since 1986, with the goal of improving access to primary health care (PHC). A comprehensive approach evolved, based on improving eectiveness, optimizing eciency, ensuring ®nancial variability and pro