ACTIVITIES An economic study of health districts will enable the removal of financial barriers to care in a way which is sustainable in the long term. At the same time, work aimed at improving the geographical accessibility of care has been started (refurbishing outlying health services, implementing strategies and consolidating referral networks). Effective delivery of a minimum package of care services is still a key concern, particularly in relation to mother and child healthcare, malaria and malnutrition. The remaining activitives are reinforcement of management capacity within health facilities, supporting supervisors and involving non-governmental actors. Partnerships with sub-regional stakeholders will enable the sharing and dissemination of information on the project’s achievements. Advocacy activities on the removal of financial barriers will aim to influence public health policies.
RESULTS 595 referrals were made in Keita district in Niger, thanks to the cost-pooling system.
OUTLOOK In 2011, methods for removing financial barriers will be proposed following completion of the economic study. There are growing worries, however, about the deteriorating security situation in the Sahel region which threatens the implementation of the project.
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| NIGER, Keita
Life expectancy : 52,5
IDH : 0.261 ; rang : 167/169 *
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