DeJong, J. (1991): Non-governmental Organizations and Health Delivery in Sub-Saharan Africa. Policy, Research and External Affairs. Working Paper 708. World Bank, Washington D.C.  Home/Search   Document Not in Database   Summary   Related Articles

.... (non profit) 50 (hospitals) 60 (clinics) Malawi (church) 40 (services) Tanzania (church) 40 (hospitals) Uganda (church) NGOs) 42 (hospitals) 14 (facilities) 31 (services) Zambia (church) 35 (services) Zimbabwe (church) 68 (beds rural areas) 40 (contacts) Source: DeJong (1991), Gilson et al. 1994) Nabaguzi (1995) Beside the direct provision of health care, MBOs are also engaged in the production of a health infrastructure, as examples from Kenya, Tanzania and Uganda show. In Latin American countries the rise of MBOs is often associated with state inefficiencies and ....

....to government facilities, poor performance of health workers, low technical efficiency and employment of untrained or inadequately trained staff. Operational efficiency can also be affected when the project relies primarily on external funding and personnel. The results of research done by DeJong (1991) suggest that many health projects have poor prospects of long term sustainability. Finally, equity of access cannot be taken for granted. There are numerous studies which confirm that MBOs work with poor people and disadvantaged communities (Pachauri 1994 for India) However, as the common bond ....

DeJong, J. (1991): Non-governmental Organizations and Health Delivery in Sub-Saharan Africa. Policy, Research and External Affairs. Working Paper 708. World Bank, Washington D.C.

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