@article{fdi:010079018,
  title = {40 years after {A}lma-{A}ta, is building new hospitals in low-income and lower-middle-income countries beneficial ?},
  author = {{C}habrol, {F}anny and {A}lbert, {L}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{P}ublic hospitals in low-income and lower-middle-income countries face acute material and financial constraints, and there is a trend towards building new hospitals to contend with growing population health needs. {T}hree cases of new hospital construction are used to explore issues in relation to their funding, maintenance and sustainability. {W}hile hospitals are recognised as a key component of healthcare systems, their role, organisation, funding and other aspects have been largely neglected in health policies and debates since the {A}lma {A}ta {D}eclaration. {B}uilding new hospitals is politically more attractive for both national decisionmakers and donors because they symbolise progress, better services and nation-building. {T}o avoid the `white elephant' syndrome, the deepening of within-country socioeconomic and geographical inequalities (especially urban-rural), and the exacerbation of hospital-centrism, there is an urgent need to investigate in greater depth how these hospitals are integrated into health systems and to discuss their long-term economic, social and environmental sustainability.},
  keywords = {{HAITI} ; {AFRIQUE} {SUBSAHARIENNE} ; {LESOTHO} ; {PAYS} {EN} {D}É{VELOPPEMENT}},
  booktitle = {},
  journal = {{BMJ} {G}lobal {H}ealth},
  volume = {3},
  numero = {3},
  pages = {e001293 [5 ]},
  ISSN = {2059-7908},
  year = {2018},
  DOI = {10.1136/bmjgh-2018-001293},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079018},
}