BAMAKO INITIATIVE: Ensure community participation in

managing and finding supplies of essential drugs

Improving primary healthcare services for all

Decentralising the management of primary health services to
district level
Decentralising the management of locally collected patient
fees to community level
Ensuring consistent fees are charged at all levels for health
services whether in hospitals, clinics or health centres
High commitment from governments to maintain and, if
possible, expand primary healthcare services
National policy on essential drugs should be complementary to
primary healthcare
Ensuring the poorest have access to primary health care
Monitoring clear objectives for curative health services