La décentralisation en Chine a placé les hôpitaux municipaux (HM) au cœur du système sanitaire en zone rurale. Nous avons utilisé les informations collectées dans un échantillon de 21 HM de la province de Shandong et dans les administrations concernées pour analyser par des méthodes...

Budgetary restrictions, and more generally, the lack of resources available in the health sector in Africa, have gradually led governments to undertake health care reforms, most notably by introducing user fees, as in the Côte d'Ivoire. But whilst it may be hoped that charging fees should lead...

During the last decades, China has achieved some remarkable results in improving the health status of its population. Since the end of the seventies, it has engaged in a process of large reforms in integrating with the global economy. This openness in policy has already paid important dividends...

The analysis of the Mauritanian experience, where cost recovery was introduced in 1993, contributes on a number of key points to the discussion surrounding user fees contribution to health care systems. Initial results appear to be largely positive regarding the improvement of the quality of...

Using a quasi-experiment design, the economic impact of schistosomiasis was studied in 412 rice-grower households in Mali. Two groups of seven villages were formed, one a treated group and one an untreated group, after pair-matching by geographical zone and irrigation type. Effect of treatment...

Following decentralization, township hospitals (TH) have been set during the 90?s at the heart of the Chinese health care supply in rural area. We have collected data from a sample of 21 TH in Shandong province to analyze the determinants of their activities and assess their efficiency during...

The sectors of coffee and cocoa in Côte d?Ivoire represented, before the political crisis, approximately 15% of the GDP and 40% of exports. The production zone of these two crops is the forest, which is a malaria endemic area. The cultivation of these crops is less constraining than that of the...

According to the human capital theory, health is a determinant of the economic development and should play a role in the fight against poverty. On the other side, the economic growth, by supplying better sanitation, water quality and hygiene, better education and income, may improve...