The bamako initiative bi was a pragmatic strategy to implement primary health care phc in the era of economic structural adjustment. The bamako initiative has given rise to a great deal of international interest and debate,25 the latter largely related to financing and transfer of costs to the local. The bamako initiative was a formal statement adopted by african health ministers in 1987 in. Grant, was for unicef and other donors to supply drugs to countries which would be sold a. Subsaharan africa since the late 1980s, has shown that organized.
Full text full text is available as a scanned copy of the original print version. The bamako initiative aimed to increase access to pri mary health care by raising the effectiveness, efficiency, financial viability and equity of health services. Under the bamako initiative unicef will provide free drugs to participating countries for the 1st few years. President, the bamako initiative is a testament to the hard work and solidarity of untold numbers of dedicated people on the ground many of you here, at this important conference who understood from the very beginning that the key to accessible and affordable health care for all lies in the informed involvement of local communities.
Bamako initiative employed some form of phased scaling up, and several countries most notably benin, mali and rwanda achieved significant results. The bamako initiative suggested a revolving drug fund to pay for future drug supplies and the use of excess fund left over for the maintenance and improvement of primary health care services. In essence, implementing the bamako initiative was a political process that involved changing the prevailing patterns of authority and power. To compare the level of availability and rational use of drugs in primary health care phc facilities where the bamako initiative bi drug revolving fund programme has been operational, with phc centres where the bitype of drug revolving fund programme is not yet operational methods. Pdf on oct 1, 1989, d hughes and others published the bamako initiative find, read and cite all the research you need on researchgate. In 19921993, burkina faso implemented the bamako initiative, a health sector reform in subsaharan africa that included several strategies, one of which was the implementation of user charges to. During the 1987 world health organizations regional assembly, the ministers of health of the african states launched the bamako initiative, an effort aimed at reorganizing the health system to ensure universal, permanent accessibility of maternal and child health services. Three conditions were initially seen as necessary for success. The bamako initiative, implemented in varying degrees in half of the countries of.
The study was undertaken in 21 phc centres with bi drug revolving funds and 12 phc. Whounicef initiative aimed at solving the problems in the. The bamako initiative was a formal statement adopted by african health ministers in 1987 in bamako, mali, to implement strategies designed to increase the availability of essential drugs and other healthcare services for subsaharan africans the idea as proposed by unicefs executive director, james p. Full text get a printable copy pdf file of the complete article 304k, or click on a page image below to browse page by page.
Effect of the bamakoinitiative drug revolving fund on. The bamako initiative was launched in 1987 in the capital of. Links to pubmed are also available for selected references. The kenyan model of the bamako initiative wiley online library.