Advanced Search
MyIDEAS: Login

International NGOs and primary health care in Mozambique: the need for a new model of collaboration

Contents:

Author Info

  • Pfeiffer, James
Registered author(s):

    Abstract

    In keeping with the neo-liberal emphasis on privatization, international aid has been increasingly channeled through non-governmental organizations (NGOs) and their expatriate technical experts to support primary health care (PHC) in the developing world. Relationships between international aid workers and their local counterparts have thus become critical aspects of PHC and its effectiveness. However, these important social dynamics of PHC remain understudied by social scientists. Based on three years of participant-observation in Mozambique, this paper presents an ethnographic case study of these relationships in one central province. The Mozambique experience reveals that the deluge of NGOs and their expatriate workers over the last decade has fragmented the local health system, undermined local control of health programs, and contributed to growing local social inequality. Since national health system salaries plummeted over the same period as a result of structural adjustment, health workers became vulnerable to financial favors offered by NGOs seeking to promote their projects in turf struggles with other agencies. It is argued that new aid management strategies, while necessary, will not be sufficient to remedy the fragmentation of the health sector. A new model for collaboration between expatriate aid workers and their local counterparts in the developing world is urgently needed that centers on the building of long-term equitable professional relationships in a sustainable adequately funded public sector. The case study presented here illustrates how the NGO model undermines the establishment of these relationships that are so vital to successful development assistance.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.sciencedirect.com/science/article/B6VBF-458P7TG-6/2/8dd2efe6ac808dd9e954a1f8d3910ee5
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 56 (2003)
    Issue (Month): 4 (February)
    Pages: 725-738

    as in new window
    Handle: RePEc:eee:socmed:v:56:y:2003:i:4:p:725-738

    Contact details of provider:
    Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description

    Order Information:
    Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional
    Web: http://www.elsevier.com/orderme/journalorderform.cws_home/315/journalorderform1/orderooc/id=654&ref=654_01_ooc_1&version=01

    Related research

    Keywords: NGOs Mozambique International aid Primary health care Social inequality;

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as in new window

    Cited by:
    1. World Bank, 2005. "Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study," World Bank Other Operational Studies 12461, The World Bank.
    2. Silvia Amaral & Tomaz Dentinho, 2005. "The development of the Huambo Province in Angola - The application of a spatial interaction model to simulate the movement from autarky to external integration," ERSA conference papers ersa05p252, European Regional Science Association.
    3. Maes, Kenneth & Kalofonos, Ippolytos, 2013. "Becoming and remaining community health workers: Perspectives from Ethiopia and Mozambique," Social Science & Medicine, Elsevier, vol. 87(C), pages 52-59.
    4. Sundewall, Jesper & Jönsson, Kristina & Cheelo, Caesar & Tomson, Göran, 2010. "Stakeholder perceptions of aid coordination implementation in the Zambian health sector," Health Policy, Elsevier, vol. 95(2-3), pages 122-128, May.
    5. World Bank, 2005. "Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study," World Bank Other Operational Studies 8257, The World Bank.
    6. Iram A. Khan, 2010. "Public sector institutions, politics and outsourcing: Reforming the provision of primary healthcare in Punjab, Pakistan," Journal of International Development, John Wiley & Sons, Ltd., vol. 22(4), pages 424-440.
    7. World Bank, 2006. "Timor-Leste Health Sector Review : Appendices," World Bank Other Operational Studies 14898, The World Bank.
    8. World Bank, 2006. "Timor-Leste Health Sector Review : Meeting Challenges and Improving Health Outcomes," World Bank Other Operational Studies 14897, The World Bank.

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:56:y:2003:i:4:p:725-738. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.