Commercialization of Health Care in Mali: Community Health Centres, Fees for Service and the Rise of Private Providers
Mali is one of the world’s poorest countries, with an estimated income per head of US$250, as compared to an average of US$480 for sub-Saharan Africa in 2000.2 It falls into the category of Highly Indebted Poor Countries in the World Bank’s debt relief programme. Geographically, it is a landlocked country in the semi-arid Sahel in West Africa, with an estimated population in 19993 of just 10.5 million people. The underlying rate of population increase of around 3 per cent a year coexists with very considerable emigration, leaving a net rate of increase of around 2.2 per cent. The population remains predominantly farmers, with about 7.6 million people living outside cities despite strong flows of internal migration that are constituting a rural exodus and rapid urbanization as well as other migratory movements within the country.
KeywordsMigration Income Germinate Malaria Pyramid
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