title: [The co-construction of change in community health service provision in Senegal].
abstract: An experience of collaboration between researchers and the Ministry of Health of Senegal has encouraged the social uses of results from research on the health of communities. This article presents the contributions of partnership-based research to tackling health inequalities. Following a diagnostic shared with all the actors (practitioners and users) that allowed us to identify the reasons behind the under-utilization of well-equipped and renovated health establishments, three innovations were implemented: district surgery, complementary health insurance and flat-rate fees. In the four central regions of Senegal where this experiment was launched, the research that was carried out allowed for a better comprehension of the processes and challenges in ‘co-constructing’ knowledge between practitioners and researchers, in the context of relatively low access to healthcare. This article highlights the importance of this co-construction in encouraging concerted efforts to make relevant changes for improved, more equitable and more accessible local health services for communities.
authors.affiliation: 1.Laboratoire de Recherche sur les Transformations Economiques et Sociales (LARTES), Institution Fondamental d'Afrique Noire (IFAN), l'Université Cheikh Anta Diop, Dakar, Sénégal.
authors.forename: Abdou S
authors.initials: AS
authors.lastname: Fall
authors.forename: Rokhaya
authors.initials: R
authors.lastname: Cissé
mesh_terms: D003153:Community Health Services / Q000458:organization & administration* / Q000592:standards; D003159:Community-Institutional Relations; D003299:Cooperative Behavior; D006078:Government Programs; D018166:Health Care Reform / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000592:standards; D006302:Health Services Research / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D054624:Health Status Disparities; D006801:Humans; D007373:Interinstitutional Relations; D012040:Regional Health Planning / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D012675:Senegal; D014495:Universities
keywords: co-construction des savoirs; innovations; inégalités de santé; programmes locaux et régionaux de santé