Challenges to equity in health and health care : a Zimbabwean case study.
The current economic crisis in Africa has posed a serious challenge to policies of comprehensive and equitable health care.
This paper examines the extent to which the Zimbabwe government has achieved the policy of « Equity in Health » it adopted at independence in 1980, that is provision of health care according to need.
The paper identifies groups with the highest level of health needs in terms of both health status and economic factors which increase the risk of ill health.
It describes a series of changes within the health sector in support of resource redistribution towards health needs, including a shift in the budget allocation towards preventive care, expansion of rural infrastructures, increased coverage of primary health care, introduction of free health services for those earning below Z$150 a month in 1980, increased manpower deployment in the public sector and the reorientation of medical training towards the health needs of the majority.
Mots-clés Pascal : Afrique, Inégalité, Soin, Soin santé primaire, Homme, Organisation santé, Politique sanitaire, Zimbabwe, Système santé
Mots-clés Pascal anglais : Africa, Inequality, Care, Primary health care, Human, Public health organization, Health policy, Zimbabwe, Health system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 91-0560162
Code Inist : 002B30. Création : 199406.