Kingdon à Bamako : conceptualiser l’implantation d’une politique publique de santé en Afrique

Ridde, Valéry

doi:10.7202/010889ar

Cited by 11 publications

(7 citation statements)

References 4 publications

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“…Pour mener cette recherche nous avons eu recours a une etude de cas et a une enquete socio-anthropologique (Olivier de Sardan, 1995 ;Ridde, 2004). Le cas etudie est un projet de cooperation internationale d'une Organisation Non Gouvernementale (ONG) qui appuie les services de l'Etat dans la mise en oeuvre des politiques publiques de sante.…”

Section: Methodologieunclassified

Appréhender les conceptions locales de l'équité pour formuler les politiques publiques de santé au Burkina Faso

Ridde

2006

Promotion & Education

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Equity is an essential health promotion concept and must be included at the heart of public health policy making. However, equity, which can also be referred to as social justice, is a polysemic and contextual term which definition must stem from the discourse and values of the society where the policies are implemented. Using a case study from Burkina Faso, we try to show that the non-acknowledgement of the local concept of social justice in the policy making process partly explains the resulting policies' relative failure to achieve social justice. Data collection methods vary (individual and group interviews, concept mapping, participant observation, document analyses) and there are qualitative and quantitative analyses. The four groups of actors who generally participate in the policy making process participated in the data collection. With no intention to generalise the results to the entire country, the results show that mass social mobilisation for justice is egalitarian in type. Health or social inequalities are understood by individuals as facts which we cannot act upon, while the inequalities to access care are qualified as unjust, and it is possible to intervene to reduce them if incentive measures to this effect are taken. We also observed a certain social difficulty to conceive sub-groups of population and fierce will to not destabilise social peace, which can be provoked when looking for justice for the impoverished sectors of the population. This research allows better understanding about the emic aspect of equity and seems to confirm the importance of taking into account local values, especially social justice, when determining public policy.

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Section: Methodologieunclassified

Appréhender les conceptions locales de l'équité pour formuler les politiques publiques de santé au Burkina Faso

Ridde

2006

Promotion & Education

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“…The CAME was thus created in a dual context, one health-related and one economic. Its health mandate echoes the 1987 Bamako Initiative of 2 years earlier (Ridde, 2004;Tizo & Flori, 1997), the recommendations of which were implemented in Benin in 1988, and the introduction of essential medicines into the public sector. 6 By allowing the sale of medicines in public health facilities, the Bamako Initiative resolved one of the key questions regarding how a public procurement agency operates: financial autonomy.…”

Section: History Of a Recommended But Contested Institutionmentioning

confidence: 99%

Understanding Drugs Markets

Baxerres¹,

Cassier²

2021

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Drawing on anthropology, historical sociology and social-epidemiology, this multidisciplinary book investigates how pharmaceuticals are produced, distributed, prescribed, consumed and regulated in order to construct a comprehensive understanding of the issues that drive pharmaceutical markets in the Global South today.Based on primary research conducted in Benin and Ghana, and additional data collected in Cambodia and the Ivory Coast, this volume uses artemisinin-based combination therapies (ACTs) against malaria as a central case study. It highlights the influence of the countries' colonial and postcolonial history on their models for state regulation, production and distribution, explores the determining role transnational actors as well as industries from the North but also and increasingly from the South play in influencing local pharmaceutical markets and looks at the behaviour of healthcare professionals and individuals. Stepping back, the authors then unpick the pharmaceuticalization process and the multiple regulations at stake by looking at the workings of, and linkages between, (biomedical health) pharmaceutical systems, (representatives of companies) industries, actors in private and public distribution and consumer practices.Providing a thorough comparative analysis of the advantages and disadvantages of different pharmaceutical systems, it is an important contribution to the literature on pharmaceuticalization and the governance of medication. It is of interest to students, researchers and policymakers interested in medical anthropology, the sociology of health and illness, global health, healthcare management and pharmacy.

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“…En revanche, la mise en oeuvre se déroule à la périphérie, la plupart du temps par l'intermédiaire de projets de coopéra-tion internationale au niveau d'une région sanitaire et de ses districts de santé. Dans un article précédent (Ridde, 2004), nous avons tenté de montrer l'intérêt heuristique d'appliquer le prolongement de la théorie des courants au sous-processus de la mise en oeuvre de la politique publique étu-diée ici. Ce prolongement théorique stipule que c'est par la rencontre du courant des problèmes avec celui des solutions que la mise en oeuvre d'une politique publique est rendue possible.…”

Section: Cadre Théorique Et Approche Méthodologiqueunclassified

L’accès des indigents aux services de santé au Burkina Faso : un problème public ?

Ridde¹

2006

lsp

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Kingdon à Bamako : conceptualiser l’implantation d’une politique publique de santé en Afrique

Cited by 11 publications

References 4 publications

Appréhender les conceptions locales de l'équité pour formuler les politiques publiques de santé au Burkina Faso

Appréhender les conceptions locales de l'équité pour formuler les politiques publiques de santé au Burkina Faso

Understanding Drugs Markets

L’accès des indigents aux services de santé au Burkina Faso : un problème public ?

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