Introduction: The Government of Senegal is firmly committed towards universal health coverage (UH... more Introduction: The Government of Senegal is firmly committed towards universal health coverage (UHC). Various initiatives have been launched over the last decade to extend the coverage of risk protection to the entire population. The objective of UHC is mainly pursued through (i) a desire to expand coverage in services in poor areas and (ii) improvement of financial access through the Universal Health Insurance Policy (called CMU). However, the proportion of the population actually covered is still low, and access to health services and funding of national public health priorities are limited by inadequate allocation of resources. The concept of UHC is closely linked to health system strengthening (HSS). The latter comprises the means, while UHC is a way of framing the policy objectives.1Aim: This study aims to assess the main gaps and henceforth necessary requirements in terms of HSS so as to facilitate progress towards UHC in Senegal.Methods: Based on a critical review of existing ...
World hospitals and health services : the official journal of the International Hospital Federation, 2011
This article summarizes a presentation made at the IHF Leadership Summit held in Chicago, USA in ... more This article summarizes a presentation made at the IHF Leadership Summit held in Chicago, USA in June 2010, by Denis Porignon from the World Health Organization (WHO) and Reynaldo Holder from the Pan American Health Organization (PAHO/WHO). It focuses on the role of hospitals within the framework of the renewed PHC strategy.
Cahiers d'études et de recherches francophones / Santé
This second paper aims at deriving useful information allowing to improve the strategy applied fo... more This second paper aims at deriving useful information allowing to improve the strategy applied for maternal health care.
Au Rwanda, le ministere de la Sante reconstruit le secteur sante detruit lors du genocide, tout e... more Au Rwanda, le ministere de la Sante reconstruit le secteur sante detruit lors du genocide, tout en essayant d’assurer l’accessibilite financiere de la population aux services par la mise en place d’un systeme de prepaiement. Le niveau d’adhesion a ce systeme reste faible (15,6 %) dans les trois districts pilotes ou ils ont ete mis en place quatre ans auparavant (1999‐2003). L’utilisation des services curatifs et des maternites s’est sensiblement amelioree dans ces districts. Les adherents au systeme de prepaiement utilisent beaucoup plus les services que le reste de la population ; les menages ayant des revenus relativement eleves et les menages de taille importante (de plus de 5 personnes) adherent davantage. Les non‐membres du systeme de prepaiement depensent plus pour les services de sante que les membres. La poursuite de ce systeme est utile pour la population rwandaise si des strategies sont mises en place pour permettre aux pauvres d’adherer.
The numerous stakeholders involved in the development of universal health coverage (UHC) policies... more The numerous stakeholders involved in the development of universal health coverage (UHC) policies are likely to have diverging interests about which dimensions to prioritize, hence the importance of ensuring an effective and transparent policy dialogue. This paper aims to investigate whether or not UHC policy dialogue processes are functioning well in Benin and Senegal. Based on a literature review, we have identified a number of characteristics guaranteeing the quality of policy dialogue processes, which we have integrated into an analytical grid. The quality criteria identified were classified along four dimensions: stakeholder participation, dialogue/negotiation process, quality of situation analysis and decision criteria, and results from the negotiation process. Based on data collected through documentary review, interviews, an electronic survey and the authors’ own experience, we applied that analytical grid to the cases of Benin and Senegal. In both countries, the policy di...
Le Centre Hospitalier Universitaire de Kigali (CHUK) a besoin, depuis de nombreuses annees, de do... more Le Centre Hospitalier Universitaire de Kigali (CHUK) a besoin, depuis de nombreuses annees, de donner une visibilite a son activite. La gestion de l'institution, la comprehension de la place de l'institution dans le systeme de soins de sante rwandais, le renforcement de la visibilite de l'institution sont autant d'objectifs de politique de sante. Cependant, aucun outil n'avait ete mis en place a ce jour. L'objectif est d'evaluer la faisabilite de l'utilisation du thesaurus 3BT comme instrument de collecte de donnees. En aout 2005, le thesaurus belge 3BT, bilingue, biclassifie (ICD-10/ICPC-2) adapte au CHUK a ete mis en place. Criteres de jugements primaires: qualite des encodages, operationnalite du thesaurus. Une analyse qualitative a ete realisee sur 899 encodages, dont 16 vides. Les occurrences faibles (< 0,2 %) de pres de 25 % des encodages des diagnostics cliniques justifient l'utilisation et l'amelioration du thesaurus. Pres de 45 % d...
Introduction: The Government of Senegal is firmly committed towards universal health coverage (UH... more Introduction: The Government of Senegal is firmly committed towards universal health coverage (UHC). Various initiatives have been launched over the last decade to extend the coverage of risk protection to the entire population. The objective of UHC is mainly pursued through (i) a desire to expand coverage in services in poor areas and (ii) improvement of financial access through the Universal Health Insurance Policy (called CMU). However, the proportion of the population actually covered is still low, and access to health services and funding of national public health priorities are limited by inadequate allocation of resources. The concept of UHC is closely linked to health system strengthening (HSS). The latter comprises the means, while UHC is a way of framing the policy objectives.1Aim: This study aims to assess the main gaps and henceforth necessary requirements in terms of HSS so as to facilitate progress towards UHC in Senegal.Methods: Based on a critical review of existing ...
World hospitals and health services : the official journal of the International Hospital Federation, 2011
This article summarizes a presentation made at the IHF Leadership Summit held in Chicago, USA in ... more This article summarizes a presentation made at the IHF Leadership Summit held in Chicago, USA in June 2010, by Denis Porignon from the World Health Organization (WHO) and Reynaldo Holder from the Pan American Health Organization (PAHO/WHO). It focuses on the role of hospitals within the framework of the renewed PHC strategy.
Cahiers d'études et de recherches francophones / Santé
This second paper aims at deriving useful information allowing to improve the strategy applied fo... more This second paper aims at deriving useful information allowing to improve the strategy applied for maternal health care.
Au Rwanda, le ministere de la Sante reconstruit le secteur sante detruit lors du genocide, tout e... more Au Rwanda, le ministere de la Sante reconstruit le secteur sante detruit lors du genocide, tout en essayant d’assurer l’accessibilite financiere de la population aux services par la mise en place d’un systeme de prepaiement. Le niveau d’adhesion a ce systeme reste faible (15,6 %) dans les trois districts pilotes ou ils ont ete mis en place quatre ans auparavant (1999‐2003). L’utilisation des services curatifs et des maternites s’est sensiblement amelioree dans ces districts. Les adherents au systeme de prepaiement utilisent beaucoup plus les services que le reste de la population ; les menages ayant des revenus relativement eleves et les menages de taille importante (de plus de 5 personnes) adherent davantage. Les non‐membres du systeme de prepaiement depensent plus pour les services de sante que les membres. La poursuite de ce systeme est utile pour la population rwandaise si des strategies sont mises en place pour permettre aux pauvres d’adherer.
The numerous stakeholders involved in the development of universal health coverage (UHC) policies... more The numerous stakeholders involved in the development of universal health coverage (UHC) policies are likely to have diverging interests about which dimensions to prioritize, hence the importance of ensuring an effective and transparent policy dialogue. This paper aims to investigate whether or not UHC policy dialogue processes are functioning well in Benin and Senegal. Based on a literature review, we have identified a number of characteristics guaranteeing the quality of policy dialogue processes, which we have integrated into an analytical grid. The quality criteria identified were classified along four dimensions: stakeholder participation, dialogue/negotiation process, quality of situation analysis and decision criteria, and results from the negotiation process. Based on data collected through documentary review, interviews, an electronic survey and the authors’ own experience, we applied that analytical grid to the cases of Benin and Senegal. In both countries, the policy di...
Le Centre Hospitalier Universitaire de Kigali (CHUK) a besoin, depuis de nombreuses annees, de do... more Le Centre Hospitalier Universitaire de Kigali (CHUK) a besoin, depuis de nombreuses annees, de donner une visibilite a son activite. La gestion de l'institution, la comprehension de la place de l'institution dans le systeme de soins de sante rwandais, le renforcement de la visibilite de l'institution sont autant d'objectifs de politique de sante. Cependant, aucun outil n'avait ete mis en place a ce jour. L'objectif est d'evaluer la faisabilite de l'utilisation du thesaurus 3BT comme instrument de collecte de donnees. En aout 2005, le thesaurus belge 3BT, bilingue, biclassifie (ICD-10/ICPC-2) adapte au CHUK a ete mis en place. Criteres de jugements primaires: qualite des encodages, operationnalite du thesaurus. Une analyse qualitative a ete realisee sur 899 encodages, dont 16 vides. Les occurrences faibles (< 0,2 %) de pres de 25 % des encodages des diagnostics cliniques justifient l'utilisation et l'amelioration du thesaurus. Pres de 45 % d...
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