While Ellis, Reid, and Kramer's life history framework is convincing in explaining individual variation in life history strategies, it has certain limitations, which we discuss–drawing notably on the economic theory of fertility choice. In particular, we suggest that ambient cues to extrinsic mortality alone are not sufficient to trigger sustained net fertility decline.

BackgroundAlthough Senegal’s Universal Health Coverage (UHC) program has improved access to care, it has sometimes led to overuse of health services. Moreover, the program’s substantial financial debt to health facilities (HFs) has exposed them to organizational and financial problems, making it difficult to renew drug stocks and pay salaries on time. The multiple effects of...

Objective Nonstandard working hours (early, evening, night, weekend) have increased in the last decade among workers in lower-qualification occupations. Although they may be more affected by this increase, persons living in deprived neighbourhoods could be under-represented in surveys because of participation biases. Our study aims at describing the level of nonstandard working hours and its...

Objective Due to social inequality and spatial segregation, people living in deprived neighborhoods tend to suffer from a lack of access to health care in general and occupational health services in particular, even though they are employed in occupations that are more likely to be detrimental to their health and well-being. We aim to assess...

Background Nonstandard working hours (early, evening, night, weekend) have increased in the last decade among workers in lower-qualification occupations. Although they may be more affected by this increase, persons living in deprived neighbourhoods could be under-represented in surveys because of participation biases. Our study aims at describing the level of nonstandard working hours and its...

Background Due to social inequality and spatial segregation, people living in deprived neighborhoods tend to suffer from a lack of access to health care in general and occupational health services in particular, even though they are employed in occupations that are more likely to be detrimental to their health and well-being. We aim to assess...

Background In high-income countries, platform-based delivery workers, among whom immigrants are over-represented, are particularly exposed to occupational risks. Although this exposure seems to be even higher among undocumented immigrant workers, there is little data to document this social and public health issue. Methods The SANTE-COURSE participatory research project, conducted with community-based organizations (Maison des Coursiers,...

BackgroundHas the quest for efficiency in OECD health systems impacted the social gradient of health? We examined the cross-dynamics of the health system equity-efficiency nexus among OECD countries in the past two decades.MethodsWe used a three-step methodology based on annual macro-level data from 36 OECD countries for the period 2004-2021. First, we estimated the efficiency...

Des mutuelles de santé ont été mises en place dans de nombreux pays d’Afrique subsaharienne pour améliorer le recours aux soins et lutter contre les inégalités sociales de santé. C’est le cas au Sénégal, dans des zones rurales où les habitants ne disposaient d’aucune couverture santé. Plusieurs études questionnent leur rôle dans la perspective d’atteindre...

Introduction Expanding health insurance is viewed as a core strategy for achieving universal health coverage. In Senegal, as in many other developing countries, this strategy has been implemented by creating community-based health insurance (CBHI) schemes with voluntary enrolment and a fixed premium paid by enrollees. Yet little is known about how the individuals’ experience of...