@article{fdi:010088745,
  title = {{E}xternal influences over {S}enegalese health financing policy : delaying universal health coverage ?},
  author = {{R}idde, {V}al{\'e}ry and {C}affin, {J}. {H}. and {H}ane, {F}.},
  editor = {},
  language = {{ENG}},
  abstract = {{S}enegal has long sought solutions to achieve universal health coverage ({UHC}). {H}owever, in a context dependent on international aid, the country faces multiple external pressures to choose policy instruments. {I}n this commentary, we propose an analysis of this influence. {T}he empirical material comes from our involvement in analysing health reforms for 20 years and from many interviews and observations. {W}hile studies have shown that community-based health insurance ({CBHI}) was not an appropriate solution for {UHC}, some international actors have influenced their continued application. {A}nother global partner proposed an alternative (professional and departmental {CBHI}), which was counteracted and delayed. {T}hese issues of powers and influences of international and national consultants, established in a neo-liberal approach to health, have lost at least a decade from {UHC} in {S}enegal. {T}he alternative now appears to be acquired and is scaling up at the country level, witnessing a change in the current policy paradigm.},
  keywords = {{U}niversal health coverage ; policy instrument ; {S}enegal ; {P}aris ; {D}eclaration ; ownership ; {SENEGAL}},
  booktitle = {},
  journal = {{H}ealth {P}olicy and {P}lanning},
  volume = {[{E}arly access]},
  numero = {},
  pages = {[4 p.]},
  ISSN = {0268-1080},
  year = {2023},
  DOI = {10.1093/heapol/czad108},
  URL = {https://www.documentation.ird.fr/hor/fdi:010088745},
}