External historical health policy financing instruments: The lost time for universal health coverage to the equivalent in Senegal? - Archive ouverte HAL
Pré-Publication, Document De Travail Année : 2023

External historical health policy financing instruments: The lost time for universal health coverage to the equivalent in Senegal?

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 analyzing 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.
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Dates et versions

hal-04238485 , version 1 (12-10-2023)

Identifiants

  • HAL Id : hal-04238485 , version 1

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Valery Ridde, Jean-Hugues Caffin, Fatoumata Hane. External historical health policy financing instruments: The lost time for universal health coverage to the equivalent in Senegal?. 2023. ⟨hal-04238485⟩
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