Soucat A, Gandaho T, Levy-Bruhl D, de Bethune X, Alihonou E, Ortiz C, Gbedonou P, Adovohekpe P, Camara O, Ndiaye J M, Dieng B, Knippenberg R
Int J Health Plann Manage. 1997 Jun;12 Suppl 1:S137-63. doi: 10.1002/(sici)1099-1751(199706)12:1+<s137::aid-hpm469>3.3.co;2-7.
Curative and preventive care utilization in Bamako Initiative health centres in Guinea and Benin increased significantly. Service based data and household survey results are compared and interpreted to evaluate the equity aspects of the Bamako Initiative programmes in these settings. Improvements in the use of preventive services are shared by the richer and poorer groups of the population. Inequities are more apparent regarding curative area. An important part of the population is not using Bamako Initiative Health Centres for financial reasons. However, the poor were found to use these Health Centres relatively more than richer socio-economic groups. Challenges of the future are identified and recommendations made as to how to tackle the problem of true indigence.
几内亚和贝宁实施巴马科倡议的健康中心的治疗性和预防性医疗服务利用率显著提高。对基于服务的数据和家庭调查结果进行比较和解读，以评估这些地区巴马科倡议项目的公平性。较富裕和较贫困人群在预防服务使用方面均有改善。在治疗领域，不公平现象更为明显。相当一部分人口因经济原因未使用巴马科倡议健康中心。然而，研究发现穷人相对比社会经济地位较高的群体更多地使用这些健康中心。确定了未来面临的挑战，并就如何解决真正贫困问题提出了建议。
