Urban space, public policy and health inequalities: Bamako in the heart of the "Cancer Plan" in Mali

African cities are generally known for their fast and often less well controlled growth, but also for the attraction they exert on the peripheries in terms of offers and access to care. With the emergence of non-communicable... [ view full abstract ]

African cities are generally known for their fast and often less well controlled growth, but also for the attraction they exert on the peripheries in terms of offers and access to care. With the emergence of non-communicable disease called civilization as public health problems, this tends to be amplified in low-income countries where states are often required to operate the "strategic choice" by limiting their actions to only large cities.
These "political choice" when they operate in the health sector, are often a source of inequality in access to health care both within cities and between cities and suburbs.
Our study aims to explore the impact of public policies on access to care in African cities in emergence period of chronic non-communicable diseases through the example of the national policy in the fight against cancer in Mali.
It shows that if the answer given by the authorities, is a measure of socio-health challenge of cancer in Mali, it nevertheless creates inequalities in access to cancer care among the Malian population in general and Bamako particular, and a greater attention on the part of policymakers should be given to women and children most affected by the disease.
Keyword: Bamako, public action, health inequality, cancer, equity.