Implementation of the Bamako initiative: Strategies in Benin and Guinea

Rudolf Knippenberg, Eusebe Alihonou, Agnes Soucat, Kayode Oyegbite, Maria Calivis, Ian Hopwood, Reiko Niimi, Mamadou Pathe Diallo, Mamadou Conde, Samuel Ofosu-Amaah

Research output: Contribution to journalReview article

Abstract

Two West African countries, Benin and Guinea, have been reorganizing their peripheral health systems since 1986, with the goal of improving access to primary health care (PHC). A comprehensive approach evolved, based on improving effectiveness, optimizing efficiency, ensuring financial variability and promoting equity. These strategies were launched as the Bamako Initiative by the World Health Organization's Regional Assembly in 1987. This is the first in a series of five articles on the Bamako Initiative in Benin and Guinea. The strategies implemented in these two countries are discussed. Subsequent articles discuss the improved health indicators, impact on service costs efficiency, and community empowerment through local cost recovery and equity implications. The health center is the basis for a revitalized primary care system. From here, an integrated minimum health care package is readily accessible to meet basic community health needs. Through the Bamako Initiative program, drugs and other essential resources are always available, regular contact between the community health service providers and communities has increased, and the quality of care has improved while also becoming more efficient. Community health resources are managed locally through joint microplanning and monitoring, involving health personnel and village committees. Community ownership, fostered by local budgeting and decision making, is an essential pillar for the success of the system.

Original languageEnglish (US)
JournalInternational Journal of Health Planning and Management
Volume12
Issue numberSUPPL. 1
DOIs
StatePublished - 1997

Fingerprint

Guinea
Benin
health
community
Health
Primary Health Care
Essential Drugs
equity
Costs and Cost Analysis
Community Health Services
Health Services Accessibility
health care
Ownership
Quality of Health Care
Health Resources
cost recovery
efficiency
Health Personnel
Decision Making
WHO

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Implementation of the Bamako initiative : Strategies in Benin and Guinea. / Knippenberg, Rudolf; Alihonou, Eusebe; Soucat, Agnes; Oyegbite, Kayode; Calivis, Maria; Hopwood, Ian; Niimi, Reiko; Diallo, Mamadou Pathe; Conde, Mamadou; Ofosu-Amaah, Samuel.

In: International Journal of Health Planning and Management, Vol. 12, No. SUPPL. 1, 1997.

Research output: Contribution to journalReview article

Knippenberg, R, Alihonou, E, Soucat, A, Oyegbite, K, Calivis, M, Hopwood, I, Niimi, R, Diallo, MP, Conde, M & Ofosu-Amaah, S 1997, 'Implementation of the Bamako initiative: Strategies in Benin and Guinea', International Journal of Health Planning and Management, vol. 12, no. SUPPL. 1. https://doi.org/10.1002/(SICI)1099-1751(199706)12:1+<S29::AID-HPM465>3.0.CO;2-U
Knippenberg, Rudolf ; Alihonou, Eusebe ; Soucat, Agnes ; Oyegbite, Kayode ; Calivis, Maria ; Hopwood, Ian ; Niimi, Reiko ; Diallo, Mamadou Pathe ; Conde, Mamadou ; Ofosu-Amaah, Samuel. / Implementation of the Bamako initiative : Strategies in Benin and Guinea. In: International Journal of Health Planning and Management. 1997 ; Vol. 12, No. SUPPL. 1.
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