000 01611cam a2200241 4500500
005 20250121022817.0
041 _afre
042 _adc
100 1 0 _aOlivier de Sardan, Jean-Pierre
_eauthor
700 1 0 _a Ridde, Valéry
_eauthor
245 0 0 _aFree Healthcare in Burkina Faso, Mali and Niger
260 _c2013.
500 _a12
520 _aMany African countries, confronted by healthcare access and payment collection problems now promote policies that exempt some low-income persons from paying for healthcare services. This article draws on a review of public policies and on sociological and anthropological field interviews in Burkina Faso, Mali and Niger. It compares each country's relatively different free-medical-care system and their rather similar design and operational problems. Governments often bow to internal political calculations and external pressures in determining which payment exemption measures to pursue. The resulting systems usually prove unwieldy and inconsistent because of poor preparation, communication and management, and a lack of funding. This article reveals many unintended consequences. In particular, quality care remains out of reach for many because of shortages of medicine and other supplies.
690 _aNiger
690 _aBurkina Faso
690 _aMali
690 _ahealth care
690 _apublic policy
690 _afree medical care
786 0 _nAfrique contemporaine | o 243 | 3 | 2013-01-09 | p. 11-32 | 0002-0478
856 4 1 _uhttps://shs.cairn.info/journal-afrique-contemporaine1-2012-3-page-11?lang=en&redirect-ssocas=7080
999 _c449416
_d449416