External influences over Senegalese health financing policy: Delaying universal health coverage?

Valéry Ridde (), Jean-Hugues Caffin and Fatoumata Hane
Additional contact information
Valéry Ridde: CEPED - UMR_D 196 - Centre population et développement - IRD - Institut de Recherche pour le Développement - UPCité - Université Paris Cité, IC Migrations - Institut Convergences Migrations - French Collaborative Institute on Migration [Aubervilliers]
Jean-Hugues Caffin: UMR ASTRE - Animal, Santé, Territoires, Risques et Ecosystèmes - Cirad - Centre de Coopération Internationale en Recherche Agronomique pour le Développement - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement

Post-Print from HAL

Abstract: 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.

Keywords: policy instrument; Paris Declaration; Senegal; Universal health coverage; ownership; assurance maladie; relations internationales; protection de la santé; service de santé publique; politique financière; Couverture Sanitaire Universelle; Appropriation nationale; Financement de santé; Systèmes de santé; santé publique; politique sanitaire; financement; Sénégal (search for similar items in EconPapers)
Date: 2023
Note: View the original document on HAL open archive server: https://u-paris.hal.science/hal-04598565v1
References: Add references at CitEc
Citations:

Published in Health Policy and Planning, 2023, 39 (1), pp.80-83. ⟨10.1093/heapol/czad108⟩

Downloads: (external link)
https://u-paris.hal.science/hal-04598565v1/document (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04598565

DOI: 10.1093/heapol/czad108

Access Statistics for this paper

More papers in Post-Print from HAL
Bibliographic data for series maintained by CCSD ().