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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

    (CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique)

  • Bruno Boidin

    (CLERSÉ - Centre Lillois d’Études et de Recherches Sociologiques et Économiques - UMR 8019 - Université de Lille - CNRS - Centre National de la Recherche Scientifique)

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?," Post-Print hal-02400072, HAL.
    • Handle: RePEc:hal:journl:hal-02400072
    DOI: 10.1080/00346764.2018.1555646
    Note: View the original document on HAL open archive server: https://hal.univ-lille.fr/hal-02400072
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    References listed on IDEAS

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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. 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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