Access to Health Care in Sub-Saharan Africa: Challenges in a Changing Health Landscape in a Context of Development

  • Peter S. Larson


African countries face special challenges to health-care provision given the current “double burden” of decreasing effectiveness of tools against traditional tropical diseases and an increased prevalence and incidence of noncommunicable diseases (NCDs). In this chapter, we explore the issue of health-care access in current sub-Saharan African countries using a framework common to discussion of health-care access in the developed countries. We look at the five aspects of this framework, availability, accessibility, accommodation, acceptability, and affordability, and discuss how each of these aspects is applicable to the double burden of infectious and noncommunicable disease and to the current developmental divide between urban and rural areas of sub-Saharan African countries.


Health care Sub-Saharan Africa Noncommunicable disease Tropical disease 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Peter S. Larson
    • 1
    • 2
  1. 1.Institute for Social ResearchUniversity of MichiganAnn ArborUSA
  2. 2.Department of EpidemiologyUniversity of Michigan School of Public HealthAnn ArborUSA

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