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Carences institutionnelles et rationnement de l'accès à la santé dans les pays en développement : repères et enjeux


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  • Abdelillah Hamdouch
  • Marc-Hubert Depret


The economic analysis of the links between institutions and development is crucial with regard to the challenges linked to the health situation and the conditions of the access to health services of populations in disadvantaged countries. Besides the insufficiency of the aid for development, this paper puts emphasis on the major role of institutional deficiencies in explaining the persistence of the critical health situation of these populations. First, we analyze the causes and features of ¿internal¿ deficiencies within the developing countries themselves as well as those characterizing donator countries and multilateral organizations. We then examine the challenges and the conditions implied by the remedy of these institutional deficiencies.

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Bibliographic Info

Article provided by De Boeck Université in its journal Mondes en développement.

Volume (Year): 131 (2005)
Issue (Month): 3 ()
Pages: 11-28

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Handle: RePEc:cai:meddbu:med_131_0011

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Keywords: access to health services; institutional deficiencies; developing countries;


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  1. Archibugi, Daniele & Bizzarri, Kim, 2004. "Committing to vaccine R&D: a global science policy priority," Research Policy, Elsevier, vol. 33(10), pages 1657-1671, December.
  2. Sen, Amartya, 1993. "Markets and Freedoms: Achievements and Limitations of the Market Mechanism in Promoting Individual Freedoms," Oxford Economic Papers, Oxford University Press, vol. 45(4), pages 519-41, October.
  3. Craig, David & Porter, Doug, 2003. "Poverty Reduction Strategy Papers: A New Convergence," World Development, Elsevier, vol. 31(1), pages 53-69, January.
  4. Hirschman, Albert O, 1980. "The Welfare State in Trouble: Systemic Crisis or Growing Pains?," American Economic Review, American Economic Association, vol. 70(2), pages 113-16, May.
  5. Streefland, Pieter, 2005. "Public health care under pressure in sub-Saharan Africa," Health Policy, Elsevier, vol. 71(3), pages 375-382, March.
  6. de Neubourg, Chris, 2002. "Incentives and the role of institutions in the provision of social safety nets," Social Protection Discussion Papers 25300, The World Bank.
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