In 1998, Senegal launched an ambitious hospital reform. More than ten years later, despite a massive injection of government funds in hospitals, many of them are now close to bankruptcy. However, this reform clearly had the effect of 'bringing back patients' to hospitals. While hospitals were...

This report evaluates the hospital reform that took place in Senegal in 1998. The reform was successful in granting hospitals considerable autonomy in all management areas, yet resulted in many hospitals closing to bankruptcy. After the reforms the population continued to regard hospital care as...