The main goal of this project is to enlighten the role of the private health sector in selected African countries emphasizing the access of women to health care. We consider that women are the more sensible sector of the population to the international macro-economic decisions that lead to the development of the private health sector in countries dependent of external aid. A more detailed knowledge of health care options for women and of their choices in this sector is essential for the implementation of an effective health strategy coordinating both public health planning and the heterogeneous private sector.
The question of the implementation of the private sector in Africa is mainly about development policies, about the population access to basic health care and poverty reduction, about medical pluralism, about access to commodities and essential goods, about human rights, about cultural creation and about the globalized market. The private health sector in Africa refers to a heterogeneous field of operation that comprises the action of nonprofit organizations such as NGOs and associations, and profit institutions that stand from private clinics and medicine sellers to traditional therapists. This sector has been developing in Sub-Saharan Africa on the aftermath of the local governments progressive abandon of the public health programs following the imposition of the Structural Adjustment Plans of the late eighties and nineties. It is estimated that more than a half of the health investment in the continent comes from the private sector, even if there are strong disparities between the different African countries (Ghatak, Hazlewood & Lee, 2008). \n Structural adjustment’s effect on women differs from its effect on men, as the later are more often remunerated and women have to ensure the household survival (Pfeiffer, Gimbel-Sherr & Augusto, 2007). Women vulnerability is increasing under privatization of health care (Turshen, 1999). WHO have long recognized that the gender difference in access to health care fragilizes women and children facing economic adversity and social change.
The project is focusing on both biopolitics and therapeutic pluralism, through the study of the action of enterprises, NGOs, churches, traditional therapists, towards women health.It is focused in three lusophone countries (Guinea Bissau, Angola and Mozambique) and with a broader comparison track done in two Francophone countries (Togo and Mali) and one Anglophone country (Uganda). One of our aims is to overpass the usual confinement of research to a linguist defined limit and to encourage a comparison that is based in the African regional differences rather than linguistics.
Research Centre | Research Group | Role in Project | Begin Date | End Date |
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CEI-Iscte | Societal and Development Challenges | Partner | 2010-06-01 | 2013-12-31 |
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Name | Affiliation | Role in Project | Begin Date | End Date |
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Aline Afonso | -- | Researcher | 2013-06-01 | 2013-12-31 |
Clara Carvalho | Professora Associada (DCPPP); Integrated Researcher (CEI-Iscte); | Researcher | 2010-06-01 | 2013-12-31 |
Virginie Christine Martine Gaelle Tallio | -- | Researcher | 2010-06-01 | 2013-12-31 |
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