Turbat, VincentLemière, ChristophePuret, Juliette2012-12-042012-12-042012-05https://hdl.handle.net/10986/11880This report evaluates the hospital reform that took place in Senegal in 1998. The reform was successful in granting hospitals considerable autonomy in all management areas, yet resulted in many hospitals closing to bankruptcy. After the reforms the population continued to regard hospital care as unaffordable and of inadequate quality. The very mixed results of the hospital reform are due to a lack of efficiency and built-in accountability. The report concludes that it might have been possible to avoid the current situation if in addition to empowering hospitals, an accountability mechanism had been implemented. The priorities will be to restore some government control over hospitals, restore the efficiency of hospitals, and create some progress on equity of access to hospital care.CC BY 3.0 IGOABUSEAGEDBEDSC-SECTIONSCAESAREAN SECTIONCAESAREAN SECTIONSCHILD CARECLINICAL SERVICESCLINICIANSCOST OF SERVICESDEBTDEVELOPING COUNTRIESDIAGNOSISDIAGNOSIS RELATED GROUPSDIAGNOSTIC PROCEDURESDISEASESDISSEMINATIONDOCTORSDRUGSECONOMIC STATUSELDERLYELDERLY PEOPLEELDERLY PERSONSENTREPRENEURIAL INITIATIVESEPIDEMIOLOGICAL PROFILEEQUITY IN ACCESSEXPENDITURESFACT SHEETFAMILIESFINANCIAL MANAGEMENTFREE CAREHEALTH CAREHEALTH CARE CENTERSHEALTH CARE DEMANDHEALTH CARE EXPENDITURESHEALTH CARE FACILITIESHEALTH CARE SERVICESHEALTH CENTERSHEALTH COMMITTEESHEALTH COVERAGEHEALTH FACILITIESHEALTH FINANCINGHEALTH INDICATORSHEALTH INSURANCEHEALTH INSURANCE COVERAGEHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH PLANSHEALTH POLICYHEALTH PROMOTIONHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SYSTEMHEALTH SYSTEM PERFORMANCEHEALTH WORKERSHOSPITALHOSPITAL AUTONOMYHOSPITAL CAREHOSPITAL COSTHOSPITAL DELIVERIESHOSPITAL MANAGEMENTHOSPITAL MANAGERSHOSPITAL PATIENTSHOSPITAL RATESHOSPITAL SERVICESHOSPITAL STAFFHOSPITALIZATIONHOSPITALIZATIONSHOSPITALSHOUSEHOLD SURVEYSHUMAN RESOURCESIMPACT ON HEALTHINCOMEINDEXESINDUCED DEMANDINFECTIONSINFORMATION SYSTEMINFORMATION SYSTEMSINPATIENT CAREINTEGRATIONJOB SECURITYLAB TESTSLEGAL STATUSLIABILITYLOW-INCOME COUNTRIESMEDICAL SERVICESMEDICAL SPECIALISTSMEDICINESMIDWIVESMINISTRY OF HEALTHMINORITYMORBIDITYMOTHERNATIONAL PLANSNATIONAL POLICYNUMBER OF BIRTHSNURSENURSESNURSINGOUTPATIENT CAREPARAMEDICSPATHOLOGYPATIENTPATIENT SATISFACTIONPATIENTSPENSIONSPERSONALITYPHYSICIANSPOPULATION DENSITYPOPULATION GROWTHPOPULATION INCREASEPREGNANCIESPROGRESSPUBLIC HOSPITALSQUALITY ASSURANCEQUALITY OF CAREREGIONAL HOSPITALREHABILITATIONREMEDIESRESPECTRURAL AREASSKILLED STAFFSKILLED WORKERSSOCIAL SECURITYSPILLOVERSURGERYTECHNICAL CAPACITYTRANSPORTATIONUNFPAUNIONSUNITED NATIONS POPULATION FUNDUSER FEESVIOLENCEVISITSWORKERSWORKFORCEWORLD HEALTH ORGANIZATIONWorld Bank10.1596/11880