Health seeking behaviour and household health expenditures in Benin and Guinea: The equity implications of the Bamako initiative

Agnes Soucat, Timothee Gandaho, Daniel Levy-Bruhl, Xavier De Bethune, Eusebe Alihonou, Christine Ortiz, Placide Gbedonou, Paul Adovohekpe, Ousmane Camara, Jean Michel Ndiaye, Boubacar Dieng, Rudolf Knippenberg

Research output: Contribution to journalArticle

Abstract

Curative and preventive care utilization in Bamako Initiative health centres in Guinea and Benin increased significantly. Service based data and household survey results are compared and interpreted to evaluate the equity aspects of the Bamako Initiative programmes in these settings. Improvements in the use of preventive services are shared by the richer and poorer groups of the population. Inequities are more apparent regarding curative care. An important part of the population is not using Bamako Initiative Health Centres for financial reasons. However, the poor were found to use these Health Centres relatively more than richer socio-economic groups. Challenges of the future are identified and recommendations made as to how to tackle the problem of true indigence.

Original languageEnglish (US)
Pages (from-to)S137-S163
JournalInternational Journal of Health Planning and Management
Volume12
Issue numberSUPPL. 1
DOIs
StatePublished - 1997

ASJC Scopus subject areas

  • Health Policy

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