Setting: In 2007, WHO recommended introducing rapid Mycobacterium tuberculosis (MTB) culture in the diagnostic algorithm of smear-negative pulmonary tuberculosis (TB). Objective: To assess the cost-effectiveness of the introduction of rapid non-commercial culture method (Thin Layer Agar)...

The aim of this paper is to evaluate the relative influence of neighbourhood and individual practices of care utilization in Dakar (Senegal). The data from a research program on urban malaria, made in Dakar, Senegal between 2008 and 2009. The sample was based on a two-stage sampling. A...

Depuis les années 2000, le Sénégal a adopté des politiques nationales visant la suppression progressive du paiement direct au point de services pour rendre les soins de santé plus accessibles. La mise en place de ces politiques de subvention et de gratuité dans un espace dense...

The aim of this paper is to analyze the determinants of public health expenditure in developing countries. This is done through an econometric analysis of panel data for 61 countries. A special interest is devoted to the role of external financial constraints, on corruption and on two aspects of...

The sectors of coffee and cocoa represented in Côte d'Ivoire, before the political crisis, approximately 15% of the GDP and 40% of exports. The zones of production of these two cultures are in the forest area which is infected with malaria. The culture of these products is less constraining...

Les vastes réformes entreprises en Chine dans le cadre de ce qu’il est convenu d’appeler le « socialisme de marché » ont eu d’importantes répercussions sur le fonctionnement du système de santé. Cette communication se propose d’en analyser certains effets sur l’activité et la...

This study is the continuation of a study led in the savannah area. Its purpose is to describe the economic situation of households subject to malaria risk in Côte d'Ivoire forested region, so as to provide economic indicators which could eventually help explain the expected differences in...

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...