@article{fdi:010087718,
  title = {{M}inimal resilience and insurgent conflict : qualitative analysis of the resilience process in six primary health centres in central {M}ali},
  author = {{L}erosier, {T}. and {T}oure, {L}. and {D}iabate, {S}. and {D}iarra, {Y}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground{I}n the context of universal health coverage in the {S}ahel, the study focuses on primary health centres and the difficulties of their implementation in the context of insurgency conflicts in central {M}ali.{M}ethods{T}his is qualitative research through a multiple case study. {W}e selected six health centres according to a reasoned choice to bring together contrasting situations. {W}e conducted 96 semistructured interviews and consulted secondary quantitative data on attendance. {B}y focusing on community health centres, the conceptual approach focuses on the process of resilience that unfolds in a dual context of chronic health system dysfunctions and armed conflict.{R}esults{T}he resilience strategies deployed by health professionals were relatively basic and uncoordinated. {I}n the end, it was the individuals who showed absorption. {H}owever, their room for manoeuvre was limited. {I}n the most isolated health centres, resilience was based on subordinate, poorly trained staff, often from the locality. {D}egraded working conditions and fear caused a form of resignation among health workers.{C}onclusion{T}he strategies and resources used showed a form of minimal resilience. {T}his form is unfolding in a context marked by two structuring features. {O}n the one hand, the {M}alian health system was relatively dysfunctional before the crisis, and on the other hand, the type of conflict was relatively low intensity that allowed health centres to remain open.},
  keywords = {{H}ealth systems ; {Q}ualitative study ; {MALI}},
  booktitle = {},
  journal = {{BMJ} {G}lobal {H}ealth},
  volume = {7},
  numero = {{S}uppl. 9},
  pages = {e010683 [8 p.]},
  ISSN = {2059-7908},
  year = {2023},
  DOI = {10.1136/bmjgh-2022-010683},
  URL = {https://www.documentation.ird.fr/hor/fdi:010087718},
}