External influences over Senegalese health financing policy: Delaying universal health coverage?

Ridde Valery, Caffin Jean Hugues, Hane Fatoumata. 2023. External influences over Senegalese health financing policy: Delaying universal health coverage?. Health Policy and Planning, 39 (1) : 80-83.

https://doi.org/10.1093/heapol/czad108

Article de revue ; Article de recherche ; Article de revue à facteur d'impact

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Liste HCERES des revues (en SHS) : oui

Thème(s) HCERES des revues (en SHS) : Economie-gestion; Psychologie-éthologie-ergonomie

Résumé : Senegal has long sought solutions to achieve universal health coverage (UHC). However, in a context dependent on international aid, the country faces multiple external pressures to choose policy instruments. In this commentary, we propose an analysis of this influence. The empirical material comes from our involvement in analysing health reforms for 20 years and from many interviews and observations. While studies have shown that community-based health insurance (CBHI) was not an appropriate solution for UHC, some international actors have influenced their continued application. Another global partner proposed an alternative (professional and departmental CBHI), which was counteracted and delayed. These issues of powers and influences of international and national consultants, established in a neo-liberal approach to health, have lost at least a decade from UHC in Senegal. The alternative now appears to be acquired and is scaling up at the country level, witnessing a change in the current policy paradigm.

Mots-clés Agrovoc : financement, politique sanitaire, santé publique, assurance maladie

Mots-clés géographiques Agrovoc : Sénégal, Afrique, Belgique

Mots-clés libres : Couverture Sanitaire Universelle, Appropriation nationale, Financement de santé, Systèmes de santé

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