Premium
Hospitals in sub‐Saharan Africa: why we need more of what does not work as it should
Author(s) -
Van Lerberghe W.,
De Béthune X.,
De Brouwere V.
Publication year - 1997
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1046/j.1365-3156.1997.d01-382.x
Subject(s) - work (physics) , developing country , medicine , geography , political science , economic growth , engineering , economics , mechanical engineering
This paper analyses the origins of today's crisis in the hospital sector in sub‐Saharan Africa. Present trends in availability of hospital services are extrapolated to the future in order to provide a low‐end estimate of the need for expansion of first referral level hospitals. This will not be possible without giving due priority to this sector, a commitment to considerable investments and reorientation of resources from tertiary to first referral level hospitals. It is to be feared that if this is not done, the backlog will increase, and, given the time lag before investments translate into operational services, there will be a major shortage of hospital services in sub‐Saharan Africa within a decade.