External influences over Senegalese health financing policy
Delaying universal health coverage
Bibliographic Data
| ID | 16763111 |
|---|---|
| Authors | Valery Ridde (0000-0001-9299-8266, Université Paris Cité, IRD, Inserm, Ceped , 45, Rue des Saints Pères, Paris F-75006, France), Jean-Hugues Caffin (CIRAD (Agricultural Research for Development), UMR ASTRE , Dakar, Senegal), Fatoumata Hane (IRL 3189 Environnement, Santé et Société UCAD, Université de Assane Seck de Ziguinchor , Ziguinchor, Sénégal) |
| Year | 2024 |
| Volume | 39 |
| Issue | 1 |
| Pages | 80-83 |
| Publication date | 2024-01-09 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czad108 |
| PMID | 38011666 |
| OpenAlex | W4389042449 |
| Language | EN |
| Citations received | 2 |
| References cited | 20 |
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
Business · Context (archaeology) · Development economics · Economic growth · Economics · Geography · Health care · International community · Political science · Politics · Public economics · Universal coverage · Global Maternal and Child Health · Healthcare Systems and Reforms · HIV/AIDS Impact and Responses · Health Policy
World Development Report 2004
Mandatory membership of community-based mutual health insurance in Senegal
The primacy of politics in neoliberal universal health coverage policy reform. A commentary on ‘financing and provision of healthcare for two billion people in low-income nations
Operational and structural factors influencing enrolment in community-based health insurance schemes
Rethinking external assistance for health
Saisir l’action publique en Afrique à travers les instruments. Avant-propos
The political path to universal health coverage
Factors that foster and challenge the sustainability of departmental health insurance units in Senegal
Fragmentation by design
Policy Paradigms, Social Learning, and the State
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |