@article{fdi:010092883,
  title = {{H}ealth care financing instruments during the colonial period in {S}enegal : the historical and institutional nature of policy instruments},
  author = {{R}idde, {V}al{\'e}ry and {D}iaw, {M}. and {B}{\'e}land, {D}.},
  editor = {},
  language = {{ENG}},
  abstract = {{T}here has been limited research on {A}frican policy instruments' historical and institutional nature in health policy literature. {H}owever, in the field of health systems research, there are many examples that show the permanent use of financing instruments inspired by liberal (pro-market) ideas such as user fees, performance bonuses, or private practice of medicine in {A}frica. {T}hrough an analysis of archives (1840-1960), this article shows the presence of these instruments in the health system during the {F}rench colonial period in {S}enegal. {T}hus, this study shows that these financing policy instruments' institutional presence and longevity are part of a liberal approach that predates international organizations' contemporary (and liberal) promotion. {T}his study uses a historical and institutionalist approach to understand the context, actors, and underlying factors that allowed for this historical continuity, resulting in the permanence of these instruments.},
  keywords = {policy instruments ; history ; institutions ; health care financing ; {S}enegal ; colonial period ; {SENEGAL}},
  booktitle = {},
  journal = {{J}ournal of {P}olicy {H}istory},
  volume = {37},
  numero = {2},
  pages = {160--177},
  ISSN = {0898-0306},
  year = {2025},
  DOI = {10.1017/s0898030624000034},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092883},
}