The dynamics of community and NGO partnership: primary health care experiences in rural Mali
| Autor: | Carol Ward, Yodit Solomon, Bonnie Ballif-Spanvill, Addie Fuhriman, Kacey Widdision-Jones |
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| Rok vydání: | 2008 |
| Předmět: |
Organizations
medicine.medical_specialty Primary Health Care business.industry Process (engineering) Public health Context (language use) Community ownership Health Promotion General Medicine Public relations Mali General partnership Political science Community health Ethnography Health care medicine Humans Community Health Services Rural Health Services business Anthropology Cultural Decision Making Organizational Program Evaluation |
| Zdroj: | Promotion & Education. 15:32-37 |
| ISSN: | 1025-3823 |
| DOI: | 10.1177/1025382308097696 |
| Popis: | Utilizing ethnographic research methods, this case study examines the experiences of an NGO-sponsored health care program in rural Mali. The findings indicate that while, in principle, the organization operates from an alternative development base, it has been unable to decentralize the decision-making process and facilitate community dialogue and participation. Numerous problems resulted, including superficial forms of local participation, lack of community ownership, non-remuneration of health workers and midwives, inadequate training, and ultimately, limited program gains. The analyses highlight the complexity and dynamic nature of health program implementation in a developing context, and suggest several factors important to project success. These include drawing on diverse local perspectives, promoting broad-based participation, and providing culturally appropriate ways to include all community members, particularly women. |
| Databáze: | OpenAIRE |
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