By Benjamin Coovi DAKO, PhD Doctor in Political Science, specialist in health policies Consultant in Development and Lecturer in health policy at the Faculty of Law and Political Science and at the National School of Administration University of Abomey-Calavi, Republic of Benin The pitiful image of Africa, still conveyed throughout the world today, is that...
The Republic of Benin has known since its independence in 1960, several generations of health policies. As a former French colony, the country has experienced the health strategies modeled on current practices in the metropolis. Most of the said strategies relate to the control of tropical infections and very few were oriented towards prevention. It was only after the World Health Conference held in Alma Ata in 1978 that on primary health care (PHC), that Benin has begun its march towards strategies clean sanitary facilities, which more or less take into account the health determinants of the country and public health priorities. In this article, we will discuss, in part (A), of the process and influences that characterize the first health policies, that is to say the influences of colonial heritage and endogenous practices; part (B) will be dedicated to difficulties in health planning in accordance with international standards since the 1980s, and, finally, part (C) will be devoted to the perspectives that emerge from the courageous reforms initiated since 2016 by the “Rupture” regime of President Patrice TALON.
Improving health in Africa faces many challenges. The the financial resources devoted to it are insufficient, but increasing them does not not enough. It is essential to strengthen health systems and improve efficiency health expenditure, public and private. In most countries, constraints the budgets are strong, but there is room for maneuver to reinforce the public spending on health, whether from domestic funding or foreign aid.
Since April 2016, Benin has experienced a new era in terms of protecting people's health. Indeed, in accordance with pillar 3 "Improve the living conditions of the populations" of the Government's Action Program, in its strategic axis 6: "Strengthening of basic social services and social protection", a flagship action is planned (Action 22) consisting of “Reorganizing the health system for more effective health coverage”.
Health policies are multisectoral in nature and must always be conceived in a multidimensional approach and a multidimensional approach and an impulse of health democracy in order to guarantee the population the necessary optimum of protection.
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