The bamako initiative was not about money agostino paganini, president, unicef global staff association former head of the bamako initiative management unit, unicef, new york abstract the bamako initiative bi was a pragmatic strategy to implement primary health care phc in the era of economic structural adjustment. We, the ministers of the members states of the organization of african unity met in bamako, mali, from 30 november to 1 december 2000, to develop an african common position on the illicit proliferation, circulation and trafficking of. Bamako declaration on an african common position on the. Agostino paganini has an extensive experience of primary health care and emergency health care in africa, an. The bamako initiative background in 1987 subsaharan africa was in a deep political and economic crisis. Who and unicef sponsored the overall creation and execution of the bamako initiative for nigerians, pushing them towards the adoption of the principles of the phc and mch in all african countries omololu, et al. An alternative is the concept of the user fee, cost sharing, costrecovery or copayment. Kenya has developed a model of the bamako initiative which differs in some respects to that developed in other african countries. A meeting of experts on the border programme of the african union au was held in bamako, mali, from 8 to 9 march 2007. The bamako initiative community health nursing bscn. Assessment of primary health care system performance in.
Request for quotations number sml20015r0003 the embassy of the united states of america invites you to submit a quotation for the delivery of two 2 generators and two 2 automatic transfer switches. Get a printable copy pdf file of the complete article 505k, or click on a page image below. Providing essential drugs the bamako initiative tearfund. This is the first in a series of five articles on the bamako initiative in benin and guinea. The objective of the bamako convention is to prevent the import of hazardous wastes including radioactive wastes into african nations that are party to the convention.
Born out of the 1980s collapse of the post independence social contract promising public health services for all, the bamako initiative national strategies in benin, guinea and mali succeeded in developing an innovative approach that reconciled more. Bamako initiative,6 and the 2006 abuja call7 all emphasized the importance of investing in phc for health. In the bamako initiative, a joint who united nations childrens fund unicef initiative aimed at solving the problems in the financing of primary health care in sub saharan africa was launched. Three conditions were initially seen as necessary for success. In the bamako initiative, a joint who united nations childrens fund unicef initiative aimed at solving the problems in the financing of primary health care in sub. As a result, the bamako initiative has emerged as a more flexible strategy for strengthening the management and delivery of primary care services than appeared to be the case in 1987. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail.
Mahler 41620 3 commentaires the next interview of our series on community participation and the bamako initiative is with dr. Anita hardon, ten best readings in the bamako initiative, health policy and planning, volume 5, issue 2. In essence, implementing the bamako initiative was a political process that involved changing the prevailing patterns of authority and power. The strategies implemented in these two countries are discussed. Full text is available as a scanned copy of the original print version. These strategies were launched as the bamako initiative by the world health organizations regional assembly in 1987. The bamako initiative bi was launched following a conference in 1987, on the subject of strategic policies on primary health care, and it is, in and by itself, an innovation supporting the work of the various actors within health systems. The findings, interpretations and conclusions expressed in the paper are entirely those of the authors, and do not represent the views of the world bank, its executive directors, or the countries they represent. Full text full text is available as a scanned copy of the original print version. The debt service obligations were crashing stagnant economies. Affordability, costeffectiveness and efficiency of. The bamako initiative aimed to increase access to pri mary health care by raising the effectiveness, efficiency, financial viability and equity of health services. Bamako convention on the ban of the import into africa and the control of transboundary movement and management of hazardous wastes within africa organization of african unity addis ababa ethiopia box 3243 tel.
The bamako initiative was sponsored by unicef, who and was adopted by african ministers of health in 1987. The bamako initiative was agreed by african ministers of health in 1987 with who and unicef, calling for community participation in managing and funding supplies of essential drugs. The findings, interpretations and conclusions expressed in the paper are entirely those of the authors, and do not represent the views of the world bank, its executive directors, or. Bamako, capital of mali, located on the niger river in the southwestern part of the country. Partnership opportunities information due to the covid19 epidemic response usaid will only prioritize requests for assistance that prioritize covid19 prevention and mitigation. The bamako initiative and its relevance to malaria control. Improving performance in 2000,8 the world health organizations world health report primary health care now more than. Get a printable copy pdf file of the complete article 304k, or click on a page image below to browse page by page. It has established a system of community pharmacies in peripheral areas which acts as the locus of a community financing programme, focused on the provision of drugs and disease control activities carried out by community health workers. Embassy of the united states of america bamako, mali to. Apr 16, 20 the next interview of our series on community participation and the bamako initiative is with dr.
If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple faq for additional information. How we measure reads a read is counted each time someone views a. The organization of phc systems was not specifically clarified and it was up to each country to establish strategies taking into account its geographical, sociocultural and economic realities. Effect of the bamakoinitiative drug revolving fund on. Bamako initiative was adopted to bring health care closer to the population. Embassy of the united states of america bamako, mali. Improving access to essential drugs for rural communities in. The bamako initiative millennium development goals health. Bamako initiative employed some form of phased scaling up, and several countries most notably benin, mali and rwanda achieved significant results.
Reflections on the impact of the bamako initiative and the. The bamako convention on the ban of the import into africa and the control of transboundary movement and management of hazardous wastes within africa. The bamako initiative, a controversial attempt to strengthen primary health care using community financing and community participation and management was launched at a meeting of african ministers. The bamako initiative bi was introduced by whounicef in the late 1980s to improve access to essential drugs for the most vulnerable in the society and thus improve the health outcomes. International journal of health planning and management. It is based around the eight principles listed at the top of this page see box. Bamako initiative of 1987 bamako initiative ensure. The meeting, which forms part of preparations for the ministerial conference now slated for early june in addis ababa. The bamako initiative was a formal statement adopted by african health ministers in 1987 in. Higher markup and exemptions left to the diseases of the poor. Bamako convention on the ban of the import into africa and the control of the transboundary movement and management of hazardous wastes within africa 1991 was adopted in bamako, mali, on 30 january 1991 and came into force on 10 march 1999. When occupied for the french in 1880 by captain josephsimon gallieni, bamako was a settlement of a few hundred inhabitants, grouped in villages.
Jun 17, 2004 malaria is one of the leading causes of mortality and morbidity in nigeria. Introduction in 1988, nigerian officials discovered eight hundred open drums. Agostino paganini has an extensive experience of primary health care and emergency health care in africa, an area in which he has been active for over forty years. Reliable information is needed to initiate new policy thrusts to protect the poor from the adverse effect of user fees.
Under the bamako initiative unicef will provide free drugs to participating countries for the 1st few years. A comparative study of the basel and bamako conventions andrew webstermain i. Bamako initiative 1987 decentralize health care to the district level, essential drugs supported by the world bank through 1980s this is the basic system to pay for health care services and dominates developing countries. Bamako is the capital of mali, located on the niger river. The bamako initiative primary health care strategies. The premise of the bamako initiative was that the cost of providing primary health care the equivalent of ones family doctor would be collected by charging patients for drugs at a price higher than cost, a technique called revolving drug funds the extra money raised from medicine charges is used to pay for other facets of healthcare. During the 1987 world health organizations regional assembly, the ministers of health of the african states launched the bamako initiative, an effort aimed at reorganizing the health system to ensure universal, permanent accessibility of maternal and child health services. The bamako initiative, implemented in varying degrees in half of the countries of. Declaration of almaata international conference on. The meeting was attended by representltives of 43 countries and a report on the deliberaiions is being published. To compare the level of availability and rational use of drugs in primary health care phc facilities where the bamako initiative bi drug revolving fund programme has been operational, with phc centres where the bitype of.
One of the major indices of the performance of the primary healthcare delivery remains improved access to essential drugs. Links to pubmed are also available for selected references. I the conference strongly reaffirms that health, which is a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is. As at november 26, 2017, there were 29 african states signatories and 25 parties to the convention. Subsaharan africa since the late 1980s, has shown that organized. The bamako initiative experience in benin and guinea. A minimum package of effective services, including immunization of children, can rapidly improve the health status of. The bamako initiative millennium development goals. The bamako initiative research paper example topics and.
The bamako initiative was a formal statement adopted by african health ministers in 1987 in bamako, mali, to implement strategies designed to increase the availability of essential drugs and other healthcare services for subsaharan africans. In several countries child mortality rates exceeded 200 per 1,000 live births. Whounicef initiative aimed at solving the problems in the. It became the capital of the former colony of french sudan. Past, present and future cynthia haq university of wisconsinmadison thomas hall university of californiasan francisco david thompson university of minnesotaminneapolis john bryant aga khan university and the tropical institute of community health february 2009 prepared as part of an education project of the. Faced with the difficulty of implementing primary health care services as proposed at almaata, unicef and the world health organization launched a new public health policy in 1987, the bamako initiative, to improve access to health care by revitalizing primary health care. Review of the implementation of the bamako initiative. Increasing clients power to scale up health services for the poor. Socioeconomic differences and health seeking behaviour. The bamako initiative was implemented in late 1987 helped to accomplish these goals omololu, et al. Get a printable copy pdf file of the complete article 505k, or click on a page image below to browse page by page. Why the convention fails to safeguard the interests of the worlds poor in the international trade in hazardous waste 172 3.
Reliable information is needed to initiate new policy thrusts to protect the poor from. Ten best readings in the bamako initiative health policy. The bamako initiative has given rise to a great deal of international interest and debate,25 the latter largely related to financing and transfer of costs to the local. While there are many aspects to this initiative, the introduction of user fees to improve the sustainability of primary health care in africa has been identi ed as a key component. Malaria is one of the leading causes of mortality and morbidity in nigeria. Proliferation, circulation and trafficking of small arms and light weapons 1 december 2000 i. The bamako initiative bi was a pragmatic strategy to implement primary health care phc in the era of economic structural adjustment. Is the bamako initiative still relevant for west african. Thank you for submitting a comment on this article. Increasing clients power to scale up health services for the.
The bamako initiative was not without its limitations. President, the bamako initiative is a testament to the hard work and solidarity of untold numbers of dedicated people on the ground many of you here, at this important conference who understood from the very beginning that the key to accessible and affordable health care for all lies in the informed involvement of local communities. The contractor shall deliver all items not later than 90 days after the receipt of the purchase order contract award. This report sets out the outcomes of the meeting as weil as a framework for the. The bamako initiative was launched in 1987 by the ministers of health of the african states against a background of deteriorating socioeconomic conditions, fragmented primary health care programmes and stagnating or even increasing infant mortality rates. If you would like to submit a quotation, follow the. Ensure community participation in managing and finding supplies of essential drugs improving primary healthcare services for all decentralising the management of primary health services to district level decentralising the management of locally collected patient fees to community level ensuring consistent fees are charged at all levels for health services whether in. I have just modified 2 external links on bamako initiative. Socioeconomic differences and health seeking behaviour for. Affordability, costeffectiveness and efficiency of primary health care. Bamako convention on the ban on the import into africa and the control of transboundary movement and management of hazardous wastes within africa is a treaty of african nations prohibiting the import of any hazardous including radioactive waste.
1190 405 336 1059 1029 522 1442 479 1434 1048 695 96 368 1404 850 98 1291 96 881 258 710 506 839 1276 554 476 586 328 82 334 631