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Community-based mutual health organisations in Senegal: a specific form of social and solidarity economy?

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  • Juliette Alenda-Demoutiez
  • Bruno Boidin

Abstract

Community-based mutual health organisations (MHOs) are today regarded as an essential element in the establishment of universal health coverage in sub-Saharan Africa. Nevertheless, their development has been impeded by numerous technical and institutional difficulties. While these obstacles are indeed important, our purpose in the present article is to investigate a paradox that has not yet been examined as such. In their underlying principles, community-based MHOs fall within the scope of the social and solidarity economy (SSE). However, these principles come up against a range of different values and representations within the organisations themselves. This phenomenon is illustrated by a case study of Senegal. A qualitative methodology is adopted in order to compare representations and practices with the criteria of the SSE. Our study shows that, although community-based MHOs are indeed part of the SSE, local constraints and specificities make it difficult to unify the mutualist movement in order to progress towards universal health coverage.

Suggested Citation

  • Juliette Alenda-Demoutiez & Bruno Boidin, 2019. "Community-based mutual health organisations in Senegal: a specific form of social and solidarity economy?," Review of Social Economy, Taylor & Francis Journals, vol. 77(4), pages 417-441, October.
  • Handle: RePEc:taf:rsocec:v:77:y:2019:i:4:p:417-441
    DOI: 10.1080/00346764.2018.1555646
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    Cited by:

    1. Wood, Anna, 2023. "Patronage, partnership, voluntarism: Community-based health insurance and the improvisation of universal health coverage in Senegal," Social Science & Medicine, Elsevier, vol. 319(C).
    2. Valéry Ridde & Ibrahima Gaye & Bruno Ventelou & Elisabeth Paul & Adama Faye, 2023. "Mandatory membership of community-based mutual health insurance in Senegal: A national survey," Post-Print hal-04222420, HAL.
    3. Bruno Boidin, 2020. "The social determinants of health in Africa from a political economy perspective: an exploratory contribution," Working Papers hal-02555436, HAL.
    4. Valéry Ridde & Ibrahima Gaye & Bruno Ventelou & Elisabeth Paul & Adama Faye, 2023. "Mandatory membership of community-based mutual health insurance in Senegal: A national survey," ULB Institutional Repository 2013/363350, ULB -- Universite Libre de Bruxelles.

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