000			01914cam a2200241 4500500
005			20250112062452.0
041			_afre
042			_adc
100	1	0	_aBalique, H. _eauthor
700	1	0	_a Ouattara, O. _eauthor
700	1	0	_a Ag Iknane, Akory _eauthor
245	0	0	_aTen Years of Experience in Community Health Centers in Mali
260			_c2001.
500			_a5
520			_aFollowing ten years of existence, the community health centers of Mali show a type of organization that meets public health requirements as well as the need for financial viability that apply to all healthcare institutions. Their originality lies in several factors: their legal personality, their private status, their financial support of medical staff, their management by a users’ association, and the public utilities agreement they signed with the government. In spite of their success, which saw their staff rise to 350, they suffer from major deficiencies, which result from lack of a democratic tradition within the associations, inappropriate transparency in their accounts, and inefficient supervision by the government. The main questions posed by this new experience concern the limits of the concept of community, the importance of citizenship in the dynamics of development, the participation of private institutions in the delivery of public services, the centralized, authoritarian attitude of government representatives, and the contradiction between the multiplication of healthcare centers with a view to improving geographical access and the requirements of financial viability.
690			_acommunity health centres
690			_acosts recovery
690			_aBamako initiative
690			_adecentralisation
690			_aparticipation
786	0		_nSanté Publique | 13 | 1 | 2001-03-01 | p. 35-48 | 0995-3914
856	4	1	_uhttps://shs.cairn.info/journal-sante-publique-2001-1-page-35?lang=en
999			_c230997 _d230997