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  1. An evaluation of clinical laboratory services in sub-saharan Africa : Ex africa semper aliquid novi ?

    Article - En anglais

    Copyright (c) 1997 Elsevier Science B.V. All rights reserved.

    Pathology services represent the rational, scientific basis of the practice of clinical care.

    It does not represent deus ex machina, an implausible solution to a complex plot, but rather the way in which clinical care can be audited, controlled, guided and kept appropriate to the funds and the skills available.

    Arguments are presented to support this statement as well as to analyse what is wrong with health care, from the point of view of laboratory medicine, in sub-Saharan Africa.

    In most African countries'first world'technology has to be imported by economies barely able to sustain the basic requirements of human life.

    Badly needed foreign exchange is obtained by growing export crops at the cost of traditional lifestyle, disenfranchising communities, urbanisation, and even at the cost not being able to grow food.

    War, corruption, lack of accountantability even in the Western sense of being able to go to the polls every so often, lack of empowerment, low literacy rate etc all debase the communities, with minimal exceptions, of Africa.

    Health care is under the same capricious rule as all other public services : investment in laboratories is poor and most have no access to a professional laboratory at all.

    More investment, not less ; expansion of pathology services not restricting them, is needed throughout the continent.

    Mots-clés Pascal : Laboratoire, Biologie clinique, Organisation santé, Système santé, Economie santé, Evaluation, Afrique subsaharienne, Afrique

    Mots-clés Pascal anglais : Laboratory, Clinical biology, Public health organization, Health system, Health economy, Evaluation, Sub-Saharan Africa, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0107855

    Code Inist : 002B30A01B. Création : 22/06/1998.