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Politiques publiques de santé dans les pays en sortie de crise et influence de la communauté internationale: la reconstruction du système de santé primaire dans l’Afghanistan post-conflit

  • Emilie Robert

    ()

    (Centre de recherche du Centre hospitalier de l’Université de Montréal (CR-CHUM), Unité de santé internationale – Edifice St Urbain, 3875, rue St Urbain, 5e étage, Montréal, (Québec) H2W 1V1, Canada.)

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    La reconstruction des systèmes de santé dans les pays en sortie de crise bénéficie du soutien financier et technique des principaux acteurs internationaux du développement, tels que la Banque Mondiale ou l’Organisation Mondiale de la Santé. Ce soutien contribue à influencer le processus d’élaboration des politiques publiques de santé. En Afghanistan, le degré de cette influence a été le produit de deux facteurs: d’une part, l’héritage institutionnel des années de guerre, et d’autre part, le positionnement des acteurs sur la scène nationale et internationale. L’absence d’institutions modernes, le « vide institutionnel », qui caractérise le pays en 2001, la prédominance de la Banque Mondiale sur la scène internationale, et l’insuffisance de contrepoids ont ainsi contribué à la mise en place d’un système de santé primaire basé sur la contractualisation des services.

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    Article provided by Palgrave Macmillan in its journal European Journal of Development Research.

    Volume (Year): 24 (2012)
    Issue (Month): 1 (February)
    Pages: 169-185

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    Handle: RePEc:pal:eurjdr:v:24:y:2012:i:1:p:169-185
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