Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)

The distribution of health care services in Bouaké, as it appears today, is the result of a long process rooted in both the history of the city and in health policies. This study thus focuses on the link between the logic of the establishment of health care structures and access to health care in Bo...

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Main Authors: Kouassi Samuel Konan, Kouadio Raphaël Oura, Florence Fournet
Format: Article
Language:English
Published: Université des Sciences et Technologies de Lille 2023-02-01
Series:Espace populations sociétés
Subjects:
Online Access:http://journals.openedition.org/eps/13286
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author Kouassi Samuel Konan
Kouadio Raphaël Oura
Florence Fournet
author_facet Kouassi Samuel Konan
Kouadio Raphaël Oura
Florence Fournet
author_sort Kouassi Samuel Konan
collection DOAJ
description The distribution of health care services in Bouaké, as it appears today, is the result of a long process rooted in both the history of the city and in health policies. This study thus focuses on the link between the logic of the establishment of health care structures and access to health care in Bouaké. The results, obtained from a census of all the health structures in the urban area and their geo-positioning, reveal that different rationales for their establishment are at work and that they are at the origin of socio-spatial inequalities in access to health care in Bouaké. Thus, the private sector is more concerned with profitability than with supporting the public sector. The faith-based private sector is characterized by its commitment to vulnerable households. As for the public sector, although it is guided by a desire to respect the health map, it offers poor technical facilities and limited capacity. These differentiated logics of installation result in a concentration of health care facilities in the city center and along the main roads. Health care facilities become scarce as one moves towards the periphery and areas that are difficult to access. This unequal distribution of the health care offer by health care sector reveals potential inequalities in the satisfaction of the health needs of the population.
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spelling doaj.art-9c840200c40a4a30971482ca0248aea92023-04-04T09:29:59ZengUniversité des Sciences et Technologies de LilleEspace populations sociétés0755-78092104-37522023-02-01202210.4000/eps.13286Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)Kouassi Samuel KonanKouadio Raphaël OuraFlorence FournetThe distribution of health care services in Bouaké, as it appears today, is the result of a long process rooted in both the history of the city and in health policies. This study thus focuses on the link between the logic of the establishment of health care structures and access to health care in Bouaké. The results, obtained from a census of all the health structures in the urban area and their geo-positioning, reveal that different rationales for their establishment are at work and that they are at the origin of socio-spatial inequalities in access to health care in Bouaké. Thus, the private sector is more concerned with profitability than with supporting the public sector. The faith-based private sector is characterized by its commitment to vulnerable households. As for the public sector, although it is guided by a desire to respect the health map, it offers poor technical facilities and limited capacity. These differentiated logics of installation result in a concentration of health care facilities in the city center and along the main roads. Health care facilities become scarce as one moves towards the periphery and areas that are difficult to access. This unequal distribution of the health care offer by health care sector reveals potential inequalities in the satisfaction of the health needs of the population.http://journals.openedition.org/eps/13286health care supplyaccess to health carelogic of establishmentBouakéCôte d’Ivoire
spellingShingle Kouassi Samuel Konan
Kouadio Raphaël Oura
Florence Fournet
Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)
Espace populations sociétés
health care supply
access to health care
logic of establishment
Bouaké
Côte d’Ivoire
title Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)
title_full Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)
title_fullStr Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)
title_full_unstemmed Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)
title_short Logiques d’implantation des structures sanitaires et disparités socio-spatiales de l’accès à l’offre de soins à Bouaké (Côte d’Ivoire)
title_sort logiques d implantation des structures sanitaires et disparites socio spatiales de l acces a l offre de soins a bouake cote d ivoire
topic health care supply
access to health care
logic of establishment
Bouaké
Côte d’Ivoire
url http://journals.openedition.org/eps/13286
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