Article ID: CBB000932799

Hospital Policy in Sub-Saharan Africa and Post-Colonial Development Impasse (2009)

unapi

The pattern of hospital development was set in colonised sub-Saharan countries in the early twentieth century on the basis of the demands of the colonial project and the strategies of missions. In the immediate post-independence period, democratic and egalitarian policy in some countries pointed to the expansion of health services to under-served areas. However, the idealism associated with independence waned and more pronounced tensions emerged. Plans for expanded primary health care systems were sacrificed in favour of hospital services for a privileged elite. Over the same period, a group of international agencies have been associated with the promotion of more egalitarian and primary health care-focused strategies. But there has been a failure to engage at the political level and a willingness to accept instead token assent to the strategy. The consequence for hospitals has been an impasse. Hospitals do not meet elite expectations but neither do resources reach the larger population.

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Citation URI
https://data.isiscb.org/isis/citation/CBB000932799/

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Authors & Contributors
Ama de-Graft Aikins
Hill, Allan G.
Kleinman, Arthur
Akyeampong, Emmanuel
Soraya Seedat
Seggane Musisi
Concepts
Public health
Medicine and politics
Hospitals and clinics
Psychology
Therapeutic practice; therapy; treatment
Health care
Time Periods
19th century
20th century
21st century
20th century, late
20th century, early
18th century
Places
Africa
Rwanda
Ghana
Genoa (Italy)
Italy
Tunisia
Institutions
Population Council
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