Offre de soins et expansion urbaine, conséquences pour l’accès aux soins. L’exemple de Ouagadougou (Burkina Faso)

Ouagadougou, exemplary capital city of an African country urbanization process, gives place by its fast and little controlled space growth to an original mode of space production being accompanied by the development of vast zones of spontaneous habitat. In this context of urban spreading out, the me...

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Bibliographic Details
Main Authors: Emmanuelle Cadot, Maud Harang
Format: Article
Language:English
Published: Université des Sciences et Technologies de Lille 2006-12-01
Series:Espace populations sociétés
Subjects:
Online Access:http://journals.openedition.org/eps/1739
Description
Summary:Ouagadougou, exemplary capital city of an African country urbanization process, gives place by its fast and little controlled space growth to an original mode of space production being accompanied by the development of vast zones of spontaneous habitat. In this context of urban spreading out, the medical authorities tried to answer at the request of care by the installation of planning policies having impacts on the fitting of the territory. The aim of our study was to confront the space growth and the evolution of the number and the type of modern care structures in the city. This analysis rests, initially, on library searches and files which made it possible to recall the various stages of the space growth of the city since the beginning of the twentieth century. In the second time, we apprehended the various elements which make the system of care (CSPS, hospital, private cabinets of nurses’ care, etc.) like a sowing of points. A simple and synthetic concentration indicator was used to characterize the forms of spatial distributions of the health.care establishments in the city. The public infrastructures are regularly distributed in the city; their distribution testifies to the authorities' willpower to ensure the whole population a form of equity in the physical access to the care. The space distribution of the private health care establishments, characterized by zones of concentration in the city center and near the largest axes of communication, underlines the commercial logic of their implantation. These recombining of the sanitary city space have consequences on the access to care and result in an increase in the physical inequalities of care access, in particular for the populations of the peripheral districts, more particularly of the not parcelled out districts.
ISSN:0755-7809
2104-3752