POLITICAL ECONOMY AND HISTORY: MAKING SENSE OF HEALTH FINANCING IN SUB-SAHARAN AFRICA

This paper demonstrates that fundamental to lack of progress towards universal coverage in sub‐Saharan Africa is an elitist post‐colonial political economy that dominates the social organisation in the sub‐region. Too often, it seems that analyses of these issues ignore history and take no or little...

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Bibliographic Details
Published in:Journal of international development 2013-04, Vol.25 (3), p.297-309
Main Authors: Eme Ichoku, Hyacinth, Fonta, William. M., Ataguba, John E.
Format: Article
Language:English
Subjects:
Africa
African history
elitism
Financial aid
Financial Support
Financing
Health care
Health care policy
Health Care Services Policy
health financing
Health insurance
History
Medical service
Nigeria
Political Economy
Postcolonial government
Postcolonialism
Public finance
Right Wing Politics
Social organization
Studies
Sub Saharan Africa
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Summary:This paper demonstrates that fundamental to lack of progress towards universal coverage in sub‐Saharan Africa is an elitist post‐colonial political economy that dominates the social organisation in the sub‐region. Too often, it seems that analyses of these issues ignore history and take no or little account of these post‐colonial influences that today still have a bearing on policy in various sectors, especially in health care. We conclude that the achievement of this objective has to be a long‐term process but one that cannot forget history. Various influences are, however, already moving societies in the right direction. Copyright © 2012 John Wiley & Sons, Ltd.
ISSN:0954-1748
1099-1328
DOI:10.1002/jid.2842