II- The share of the national budget allocated to health
338. The share of the budget allocated to the health sector illustrates the firm
determination of the political will to to give concrete effectiveness to the right of
Man to good health. The expenditure in the health sector rose to 5.2% of the
national budget in 1990, to 5.5% in 1995, to 5.6% in 2000 to reach 5.9% in 2004.
This shows both the position that health occupies in the country’s global policy
and the importance given to primary health care as a fundamental component of
this policy which allowed the attainment of the objective of « Health for All » by
the year 2000. In effect about 30% of the budget reserved for health is allocated
to primary health care.
339. The proportion of the population, with access to qualified staff for the
treatment of illnesses and routine wounds and able to procure essential
medication for themselves is higher than 90%. Over 90% of the households are
located at less than 4 kms from a health centre.
340. This cover is explained by the large number of structures established
throughout the territory. In 2004 health insfrastructure consisted of:
For the Public Sector
2,067 grassroots health centres
For the Private Sector
82 clinics
121 District hospitals and peripheral 99 haemodailysis centres
maternity clinics
3,371 medical clinics
33 regional hospitals
1,393 dental clinics
29 Hospitals, university centres and
institutes
1,492 dispensaries
*This data does not include the structures within other Departments and
Institutions (the Ministry of National Defense, the Ministry of the Interior and Local
Development and the National Social Security Office).
341. This health map has the objective of reducing the intra – and inter- regional
disparities and to optimize the use of resources available for investment. It relates
to both the public and private sectors for the purpose of achieving
complementarity, and for a better inter-regional distribution particularly for the
second and third line specialized structures.
III-The baseline indicators
A) The Infant Mortality Rate
342. The mortality rate which was in the region of 30 per 1,000 in 1995 fell to 22.8
per 1,000 in 2001, to stabilise in 2004 at 20.6 per 1,000, which allowed the
realization of the objectives established within the framework of the national
action programme for the survival, development and protection of the child during
the last decade. This development is the outcome of several factors, notably the
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