ABSTRACT
Despite the progress achieved in immunization; The basic African health infrastructures are dysfunctional and unappealing to the people. Plagued by chronic underfinancing; the public health sector in Sub-Saharan Africa is characterized by dilapidated buildings; frustrated health workers who are poorly renumerated and a lack of drugs and equipment. Indeed; the perceived quality of health services is mainly judged by the availability of drugs and the attitude of the providers. The Bamako initiative was therefore providing UNICEF and the countries with the opportunity to look directly at the system and to promote two major inter-related principles which are the people contribution to the financing of the system and their right to co-manage the resources