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West Africa

Etude de l'Equité et de l'accès à des soins de qualité en milieu urbain dans cinq capitales de l'Afrique de l'Ouest: Abidjan, Bamako, Conakry, Dakar and Niamey.
Launched in 1997, the Study of Equity and Access to Quality Care in Urban Environment in five capitals of West Africa Project stems from collaboration between the UNICEF Regional Office for West and Central Africa and the French Co-operation. It aims to improve equity and access to quality health care in urban areas, especially for the poorest and has three phases: action-research; operational activities; and evaluation. A regional report is available: an analytical synthesis of the studies of the three sections of the action-research phase, namely: socio-economic, socio-anthropologist and quality of health care. The report has been prepared on the basis of survey data from the five capital cities and a review of literature on quality, equity and effectiveness of health care in the urban environment across the continent. The proposed strategies for improving the quality and equity of health care in the urban environment are based on positive experiences in some countries of the sub-region, within a framework of reform of the health system. Short-term goals include: further study of the health care access issues of the poor in urban environments; strategies to improve their access to health care; the quality of care; and giving the poor ownership of programmes. Long-term goals include: implementing proposed strategies to increase access and quality of care and improving effectiveness and coordination of external supports to health development in urban environment.

Contact
Sophie Schapman
UNICEF/West Africa
Boite Postal 443
Abidjan
04 Republique Cote d'Ivoire
Telephone (225) 20 21 22 68
Fax (225) 20 22 76 07
E-mail cpagani@unicef.org

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