In September 1987, UNICEF and the World Health Organization (WHO) Regional Committee announced the launching of the Bamako Initiative— chartered in response to financial issues occurring in the region during the 1980s, and with the aim of increasing access to vital medications through community involvement in revolving drug funds. The 1987 Bamako Initiative conference, organized by the WHO was held in Bamako, the capital of Mali, and helped reshape the health policy of sub-Saharan Africa. The meeting was attended by African Ministers of Health who advocated for improvement of healthcare access through the revitalization of primary healthcare. The new strategy substantially increased accessibility through community-based healthcare reform, resulting in more efficient and equitable provision of services. The public health community within the region raised issues in response to the initiative, of which included: equity, access, affordability, integration issues, relative importance given to medications, management, dependency, logistics, and sustainability. As a result of these critiques, the Initiative later transformed to address the increase of accessibility of health services, the enhancement of quality of health services, and the overall improvement of health system management. A comprehensive approach strategy was extended to all areas of health care, with subsequent improvement in the health care indicators and improvement in health care efficiency and cost.