References of "Failon, Julie"
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See detailPrivate medical practice in Benin: dynamics of a growing sector
Failon, Julie ULg

Conference (2011, June 17)

In Benin, like in many countries in sub-Saharan Africa, the setting up of structural adjustment programs forces, in the middle of eighties, the government to limit the recruitment in civil service. As ... [more ▼]

In Benin, like in many countries in sub-Saharan Africa, the setting up of structural adjustment programs forces, in the middle of eighties, the government to limit the recruitment in civil service. As they were systematically hired by the State, most of health professionals are unemployed from 1986. Henceforth, private health sector grow progressively, without any legislation, through the development of many formal and informal private surgeries and clinics. The article will focus mainly on the development of private profit-making medical practice in Benin. It will be based on three empirical researches about medical profession in this country, from March 2009 to April 2011. In this paper, we will refer to qualitative interviews on the one hand with actors from both private and public medical structures, mainly doctors, paramedical staffs and patients, and one the other hand, with representatives of professional organizations, public policies in Ministry of Health and international organizations. First, the article will briefly describe the historical development of private medical practice in Benin, and consider governmental responses to this process. Thus we will address to the belated drawing up of a regulatory framework and the lack of control by the profession consequences, notably in terms of qualification, ethics and quality of health care. We will also examine recent reactions aimed at remedying to these different pitfalls. In this context, the paper will interest secondly in new entanglements between the public medical sector and the private medical structures emerging at local level. We will examine doctors’ practices and strategies, with only private practitioners and with doctors working in both private and public sectors. Finally, the article will give attention to how these private medical surgeries and clinics and the access conditions to these structures are perceived by health providers and patients. In this part of the paper, we will also address to tactics worked by patients regarding the different medical facilities. As a conclusion, we will wonder whether this medical private sector would contribute to reproduce some mechanisms of inequality in health sector. [less ▲]

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See detailLes déterminants de l'adhésion aux mutuelles de santé en Afrique subsaharienne : un inventaire des travaux empiriques
Defourny, Jacques ULg; Failon, Julie ULg

in Mondes en Développement (2011), 153

En Afrique Subsaharienne, les taux d’adhésion aux mutuelles de santé restent généralement à des niveaux très faibles. Cet article vise à synthétiser les résultats des enquêtes déjà réalisées pour ... [more ▼]

En Afrique Subsaharienne, les taux d’adhésion aux mutuelles de santé restent généralement à des niveaux très faibles. Cet article vise à synthétiser les résultats des enquêtes déjà réalisées pour identifier les facteurs qui influencent la décision d’adhérer ou non à ces mutuelles. Au-delà des différences méthodologiques entre ces travaux, notre synthèse fait ressortir deux facteurs majeurs qui étaient plutôt attendus (la capacité financière des populations et la qualité des soins) et les resitue dans une perspective plus large. Elle permet également d’identifier quelques autres paramètres qui semblent aussi jouer un rôle significatif même si les convergences entre les enquêtes sont moins nettes. [less ▲]

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See detailCommunity-Based Health Insurance Schemes in Africa: Which Factors Really Induce Membership ?
Defourny, Jacques ULg; Failon, Julie ULg

Conference (2008, July)

Health micro-insurance systems have experienced a fast development for some fifteen years in sub-Saharan Africa as a means of improving the access of the poor to healthcare services. The present article ... [more ▼]

Health micro-insurance systems have experienced a fast development for some fifteen years in sub-Saharan Africa as a means of improving the access of the poor to healthcare services. The present article focuses mainly on community-based health insurance (CBHI) systems, as they currently constitute one of the most developed forms of health micro-insurance. However, it must be acknowledged that the enrolment rates remain particularly weak and coverage of the target population only rarely reaches 10%. Several authors have already observed this fact and undertaken research on the factors which influence enrolment. Nevertheless, the methodologies used, size of the samples, characteristics of the surveyed individuals, inclusion or not of non-members in the surveys, geographical areas etc. vary a lot from one author to the other. This is why this article aims at synthesizing the empirical studies carried out to date and to identify major concurring results beyond methodological differences. We finally come out with two factors which seem to play a major role and six others which seem to have a significant influence on enrolment, while surveys do not confirm the role of various other variables. We conclude with some lessons regarding the roles of the promoters and supporting NGOs in the establishment of CBHI schemes. [less ▲]

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See detailLa gouvernance des entreprises coopératives
Mertens de Wilmars, Sybille ULg; Failon, Julie ULg

Report (2008)

En complément des codes de gouvernance d’entreprise en Belgique, le Conseil National de la Coopération (CNC) envisage d’établir un code de bonnes conduites spécifique aux sociétés coopératives. Dans ce ... [more ▼]

En complément des codes de gouvernance d’entreprise en Belgique, le Conseil National de la Coopération (CNC) envisage d’établir un code de bonnes conduites spécifique aux sociétés coopératives. Dans ce cadre, le CNC a formulé six questions principales concernant la gouvernance des entreprises coopératives. Dans un premier temps, nous énoncons brièvement ces différentes interrogations. Dans un second temps, nous envisageons les différents outils utiles à l’analyse de ces questions. Dans un troisième temps, nous formulons des propositions quant à l’élaboration du code de bonnes conduites en regard des différents outils. Enfin, dans un quatrième temps, nous présentons les principaux problèmes de gouvernance et recommandations relevés dans la littérature sur le sujet. [less ▲]

Detailed reference viewed: 118 (17 ULg)