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Reforming health systems
The pledge for free, basic, accessible, universal healthcare
is hitting major obstacles:
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the global economic situation of the poorest countries
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structural adjustment policies and their requirements
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uncontrolled accelerated urbanization, which thwarts
attempts to improve the environment, creates healthcare
clogging, causes a deterioration of social conditions
(social destructuring, promiscuity, unemployment) and
gives rise to disasters like the STI and AIDS explosion in
Africa
Paradoxically, the success of some health improvement
initiatives and the difficulties in implementing family
planning programs have lead to population ageing and
population growth, thus leading to an increased demand for
more sophisticated (and costly) health resources.
This situation is a great concern for the CCISD and will
require the definition of decentralization mechanisms in
order to allow more efficient planning and management. A
project in Mali is already underway.
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