@techreport{fdi:010072523,
  title = {{S}ubsidized antimalarial drugs in {D}akar ({S}enegal) : do the poor benefit ?},
  author = {{K}one, {G}.{K}. and {A}udibert, {M}. and {L}alou, {R}ichard and {L}afarge, {H}. and {L}e {H}esran, {J}ean-{Y}ves},
  editor = {},
  language = {{ENG}},
  abstract = {{S}enegal opted for an antimalarial drug policy (artemisinin-based combination therapy) of partial and then full exemption from health care costs for the whole population respectively in 2008 and 2010. {H}as this policy reduced access inequalities in children’s health care between rich and poor households?  {D}ata were collected in {D}akar between 2008 and 2009 as part of a research program on urban malaria. {A} survey was conducted among the population of the {D}akar metropolitan area. {T}he sample was based on a two-stage sampling. {T}he three questionnaires used for the survey were based on validated data collection tools. {I}ndicators were built to characterize individuals, households and neighborhoods.  {B}ivariate analysis (chi2 test) revealed social gradients within the {D}akar agglomeration and characterized health care behaviors of the poorest and richest households. {D}ata have therefore been adjusted by a double zero-inflated {P}oisson model.  {R}esults show that the policy of subsidizing antimalarial drugs in {S}enegal has reduced health care costs, including for the poor, but without improving its distributive equity. {I}n contrast, this policy has benefited more the richest than the poorest, without mitigating social and financial inequalities. {I}n light of the lessons learnt by the subsidy policy for antimalarial drugs, our study recommends that universal health coverage, currently implemented in {S}enegal, should seek to mitigate economic inequalities in access to health care for the poorest as well as to improve the health outcomes for the whole population.},
  keywords = {{SANTE} {PUBLIQUE} ; {POLITIQUE} {DE} {SANTE} ; {PALUDISME} ; {TRAITEMENT} {MEDICAL} ; {MEDICAMENT} ; {POPULATION} {URBAINE} ; {ENFANT} ; {INEGALITE} {SOCIALE} ; {PAUVRETE} ; {PROTECTION} {SOCIALE} ; {ENQU}Ë{TE} ; {ANALYSE} {DE} {DONNEES} ; {ECONOMIE} {DE} {LA} {SANTE} ; {SENEGAL} ; {DAKAR}},
  address = {{C}lermont-{F}errand},
  publisher = {{CERDI}},
  series = {{E}tudes et {D}ocuments - {CERDI}},
  pages = {25  multigr.},
  year = {2017},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072523},
}