Typologie urbaine et accessibilité géographique potentielle des établissements de santé dits « modernes » dans le district de Bamako (Mali)
Mamadou Keïta
Espace populations sociétés · 2018
doi:10.4000/eps.7707 (opens in a new tab)
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Abstract
Since the 1970s, international health policies under the auspices of the WHO, implemented in national policies, have enabled African countries to improve their health indicators: reduction of mortality rate, increase of life expectancy, increase of care supply. In Bamako, 410 health establishments dominated by the private sector, provide care supply so-called "modern" to the 2.4 million inhabitants. To this first supply, are added the supply of the traditional medicine difficult not only to locate but also to quantify and illegal drugs so-called "street drugs". However, considering the conditions of the city’s development, today, the geographical accessibility to these health services varies according to the type of districts. One of the factors that conditions care access, geographic accessibility and on which politicians have bet more, the determinant on which politicians have bet more. In Bamako, it is generally good but not enough to reduce significantly morbidity rate or to increase significantly the attendance and the use of health services. However, geographic accessibility to care supply appears as a structuring element of the territories and determining in the choice and possibilities of choice to resort population to the health services.
Abstract licence: CC BY-NC-ND
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