External influences over Senegalese health financing policy

Delaying universal health coverage

Datos Bibliográficos

ID16763111
AutoresValery 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)
Año2024
Volumen39
Número1
Páginas80-83
Fecha de publicación2024-01-09
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth Policy and Planning (JOURNAL)
Identificadores de la revistaISSN: 0268-1080 • E-ISSN: 1460-2237
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czad108
PMID38011666
OpenAlexW4389042449
IdiomaEN
Citas recibidas2
Referencias citadas20

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