✦ LIBER ✦

The Kenyan model of the bamako initiative: Potential and limitations

✍ Scribed by B McPake; F Ajuong; B Forsberg; W Liambillia; J Olenja

Publisher: John Wiley and Sons
Year: 1993
Tongue: English
Weight: 416 KB
Volume: 8
Category: Article
ISSN: 0749-6753
DOI: 10.1002/hpm.4740080205

No coin nor oath required. For personal study only.

✦ Synopsis

Kenya has developed a model of the Bamako Initiative which differs in some respects to that developed in other African countries. It has established a system of community pharmacies in peripheral areas which acts as the locus of a community financing programme, focused on the provision of drugs and disease control activities carried out by Community Health Workers. This model addresses problems of geographical accessibility rather than quality in existing services. While it responds to the most urgent health service problems in Kenya, it ignores the communities' felt needs for the extension of services to treat serious illnesses. Nevertheless, the Initiative has been successful in generating community enthusiasm and in establishing an affordable and sustainable services. It is important that the Bamako Initiative is not marginalized from the 'main' health service delivery system and is not seen as a substitute for extension of services. In the longer term, the Initiative should be used to support efforts to strengthen quality and improve accessibility at higher levels.

📜 SIMILAR VOLUMES

Implementation of the Bamako Initiative:

Implementation of the Bamako Initiative: strategies in Benin and Guinea

✍ Rudolf Knippenberg; Eusebe Alihonou; Agnes Soucat; Kayode Oyegbite; Maria Calivi 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 186 KB 👁 2 views

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

The Bamako Initiative in Benin and Guine

The Bamako Initiative in Benin and Guinea: improving the effectiveness of primary health care

✍ Daniel Levy-Bruhl; Agnes Soucat; Raimi Osseni; Jean-Michel Ndiaye; Boubacar Dien 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 420 KB 👁 2 views

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 h

Health seeking behaviour and household health expenditures in Benin and Guinea: the equity implications of the Bamako Initiative

✍ Agnes Soucat; Timothee Gandaho; Daniel Levy-Bruhl; Xavier de Bethune; Eusebe Ali 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 411 KB 👁 3 views

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

Affordability, cost-effectiveness and ef

Affordability, cost-effectiveness and efficiency of primary health care: the Bamako Initiative experience in Benin and Guinea

✍ Agnes Soucat; Daniel Levy-Bruhl; Xavier de Bethune; Placide Gbedonou; Jean-Pierr 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 641 KB

Since 1986 two West African countries, Benin and Guinea, have been actively reorganizing their peripheral health systems according to strategies subsequently called the ``Bamako Initiative''. Two preceding articles described the strategies implemented and the increased eectiveness of primary health

Inequity in the Bamako Initiative progra

Inequity in the Bamako Initiative programme—implications for the treatment of malaria in south-east Nigeria

✍ Benjamin Uzochukwu; Obinna Onwujekwe; Bo Eriksson 📂 Article 📅 2004 🏛 John Wiley and Sons 🌐 English ⚖ 78 KB

An exploratory study was carried out to examine the utilization of malaria treatment services in the Bamako Initiative (BI), the exemption practices and the cost recovery of user-fees for treatment of malaria in south-east Nigeria. Structured questionnaires were used from 1594 households to collect

Modeling the effects of nutritional and

Modeling the effects of nutritional and socioeconomic factors on the growth and morbidity of Kenyan school children

✍ Alok Bhargava 📂 Article 📅 1999 🏛 John Wiley and Sons 🌐 English ⚖ 81 KB 👁 1 views

This paper estimates dynamic models for the height, head circumference, weight, and morbidity of approximately 110 Kenyan school children (6-9 years) in a multivariate longitudinal data framework. Dynamic models allow anthropometric dimensions to depend on the respective measurements in the previous