The Political Economy of Health Care in Senegal The Integration of Traditional and Modern Health Care Revisited MAGHAN KEITA* ABSTRACT In 1978 in the city of Alma Ata of the former Soviet Union, the World Health Organization declared its intention to provide "health for all by the year 2000." In the third world, this was to be achieved through the integration of "traditional and modern medicine." In the case of Senegal, the prescription was ahistorical. It did not take into account several centuries of integration in all areas, including health care. The central argument here is that four centuries of activity have made integration an historical fact for the peoples of Senegambia. The results of that integration are manifested in the inadequacies of the current health care system which evolved through the contestations of various political economic polities for control of the Senegambian region. AFRICA WILL NOT ACHIEVE the mandate of health for all by the year 2000. This fact is illustrated by declining rates for life expectancy among men and woman; crippling levels of morbidity among all of Africa's population; and infant mortality figures that are staggering. These statistics are aggravated by low nutritional intake, and its
Journal of Asian and African Studies (in 2002 continued as African and Asian Studies) – Brill
Published: Jan 1, 1996
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