Health sector reform in Mali, 1989-1996 - TropMed Central Antwerp ...

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more than three workers, nurse included. The population of the area is also
very variable, generally comprising between 5,000 and 15,000 inhabitants,
more than half of whom live more than 5 km from the health centre.
In the urban setting, the ComHC is generally run by a doctor and
includes at least five other workers. The population of the area generally
numbers more than 15,000 inhabitants. For urban ComHCs, estimates of
costs are US$ 35,000 per year (an average of US$ 2.5 per inhabitant per
year), and for rural ComHCs, US$ 13,000 per year (an average of US$ 1.3
per inhabitant per year).
The State and its partners continue to finance part of the fixed costs
of ComHCs. This contribution sometimes goes unnoticed and is often not
calculated. It may represent up to 25% of the fixed costs. For a health area
of 10,000 inhabitants, this contribution amounts to around US$ 3,000 per
year (vaccines, anti-tuberculosis and anti-leprosy drugs, materials,
supervision). The local development committee generally subsidizes salaries
(e.g., the salary of a matron or auxiliary nurse).
Studies in HSO&P,20,2003