Amphithéâtre Marguerite de Navarre, Site Marcelin Berthelot
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Abstract

Events in northern Mali during 2012 have led to a triple human tragedy: over 1 million people remaining in the occupied zone have been cut off from contact with the national healthcare system for 8 months; almost 200,000 people have fled the insecurity of their home area to the free zone; over 200,000 people have had to take refuge in neighboring countries (Niger, Burkina, Mauritania and Algeria). In addition, the collapse of the country's economic situation, which followed the March 2012 coup d'état, led the state to cut its budget by a third, depriving all public health structures of almost their entire operating budget.

In response to this situation, humanitarian NGOs and the United Nations immediately mobilized to bring relief to suffering populations. While their interventions must be supported and even amplified to cope with the grave health situation in the two zones of the country, the two current challenges facing Mali are not only to compensate for the health effects of the crisis, but also to minimize the negative consequences that the conduct of humanitarian actions could have on the organization and general functioning of the healthcare system. Indeed, it is on the latter that the resumption of the various programs will depend once peace has returned to Mali.

Hubert Balique

Doctor Hubert Balique is a craftsman of public health. After 2 years in humanitarian action in Africa and Asia, followed by 37 years working in Mali and some 15 other countries in Sub-Saharan Africa, he returned to his position as Senior Lecturer at the Faculty of Medicine in Marseille. His professional career took him from teaching public health at the Faculty of Medicine in Bamako to serving as Regional Health Advisor for French Cooperation in West Africa, before holding several positions as Technical Advisor to the Minister of Health in Mali and Niger. Trained in medicine, economics and socio-anthropology, Dr Hubert Balique is a specialist in healthcare systems in developing countries. His experience spans the entire spectrum of public health, from primary healthcare and hospital reform to health financing and human resources management. He was notably the initiator of community health centers and field medicine in Mali.

Speaker(s)

Hubert Balique

Senior Lecturer at the Marseille Faculty of Medicine, specialist in healthcare systems in developing countries