[Funding for healthcare in sub-Saharan Africa--cost recovery].

The Bamako Initiative was adopted in 1988 to establish a community strategy to support and fund primary health care. During the 1990s sub-Saharan countries progressively signed on to this program. Cost recovery still poses the problem of financial accessibility due to the absence of a risk-sharing policy in association with geographic accessibility due to inadequate monitoring of health coverage. Demand-related price elasticity has excluded low-income groups for whom indigent classification and accompanying management measures have usually remained in the planning stages. Implementation of funding mechanisms to ensure reduction of inequities is limited by an economy founded mainly on informal principles.