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Module 5 Critical Thinking : The Bamako Initiative

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Module 5 Critical Thinking The Bamako Initiative was adopted by the African Ministers of Health with support from WHO, United Nations Children’s Emergency fund and the United Kingdom’s Department of International Development (Uzochukwu, Onwujekwe, & Akpala 2002) with the purpose of providing health care to all individuals through the decentralization of primary care and user fees. At its core, the initiative provided for national commitment to universally acceptable health care for all, essential drug policies, and decentralization of user. The aim was to increase access, efficiency, and financial viability of the health systems in the sub-Saharan Africa (UNICEF, n.d.) where health care is provided by primary health care system. Treatment and reduction of morbidity and mortality through early diagnosis and effective prevention are provided by primary health care systems by collecting user fees. This paper will discuss the Bamako Initiative in Nigeria with particular emphasis on costs, quality and access to care. In addition to being the largest nation in Africa, Nigeria is one of the most populous nations in sub-Saharan Africa with 178 million people (World Bank n.d). With approximately 50% (World Bank, n.d.) of the population living outside the urban cities, Nigerians experience barriers to accessing health care in the remote rural areas. Furthermore, the high percentage of Nigerians living in poverty, 70% (NationMaster, 2015), provides for financial problems

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