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Abstract

Over a billion people cannot afford needed healthcare services globally, with 90 per cent of that population in low- and middle-income countries and about one-third in sub-Saharan Africa (SSA). The last three decades, in particular, have witnessed a tremendous health sector reform globally, but the reasons for and content of these reforms vary. In sub-Saharan Africa, reforms have been primar- ily concerned with the procurement of consumables, the introduction of user fees, and experimentation with health insurance schemes. Yet, in some areas and countries, there are increasingly also more complex interventions, such as the African Health Initiative (AHI) that is targeting a health system perspective and ‘whole system strengthening initiative’ (Gilson, 2013; Mills et al., 2012).

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© 2015 Alex E. Asakitikpi

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Asakitikpi, A.E. (2015). Health Policy Reform in Sub-Saharan Africa. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_12

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