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Access to Health Care in Contexts of Livelihood Insecurity: A Framework for Analysis and Action

  • Brigit Obrist mail,

    To whom correspondence should be addressed. E-mail:

  • Nelly Iteba,
  • Christian Lengeler,
  • Ahmed Makemba,
  • Christopher Mshana,
  • Rose Nathan,
  • Sandra Alba,
  • Angel Dillip,
  • Manuel W Hetzel,
  • Iddy Mayumana,
  • Alexander Schulze,
  • Hassan Mshinda
  • Published: October 23, 2007
  • DOI: 10.1371/journal.pmed.0040308

About the Authors

Corresponding Author


Competing Interests

AS works for the Novartis Foundation for Sustainable Development, which is fully funded by the pharmaceutical company Novartis. The Foundation works independently from the company's business and supports not-for-profit health programs in developing countries.

Author Contributions

BO and AS wrote the manuscript in collaboration with the other authors. BO, CL, and HM designed the ACCESS Programme. NI, AM, and CM were responsible for the development and implementation of the interventions. SA, AD, MWH, and IM were responsible for data collection and analysis. RN is in charge of the Demographic Surveillance Site and NI of the overall project management. All authors contributed to and approved the final manuscript.