STUDY LABOUR AND SOCIAL JUSTICE ACCESS TO HEALTH SERVICES A Key Demand of Informal Labour in Africa – Findings from Representative Country Surveys in Sub-Saharan Africa Rudolf Traub-Merz and Manfred Öhm February 2021 Obtaining improved medical care is a key demand of the in­formally employed in Africa. They rank health services higher than other essential state servic­es. This holds true – with minor exceptions – across income groups, geographical location, gender, age and education. Access to health care is strati­fied by social inequality. The in­formally employed have little trust that their governments will provide them with improved health services. Nevertheless they show a strong interest in health insurance schemes and are willing to pay a premium. The report presents findings of country-wide, representative surveys jointly conducted by FES(lead agent), ILO and DIE­GDI. The polls cover Kenya (2018), Benin(2018), Senegal (2019), Zambia(2019) and Ivory Coast(2020).