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
Rok vydání: 2008
Předmět:
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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