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The ‘NGO‐isation’ of Kenyan society: USAID & the restructuring of health care

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  • Julie Hearn

Abstract

One result of Africa's marginalisation in the world economy is the peculiarly important role that aid plays in the continent. Whilst Africa's share of international trade is an almost insignificant three per cent, it accounts for more than thirty per cent of the global aid business (Sunday Nation,5 May 1996). Aid policy, itself, is dominated by what has been described as the New Policy Agenda of neo‐liberalism and liberal democratic theory, which assigns NGOs a key role. This article examines how one influential donor in Kenya, USAID, has funded and promoted NGOs in the health sector, notably mission hospitals. The article questions claims for their comparative advantage, and illustrates the extent to which they have been integrated into a national health structure. It concludes by pointing out some of the long‐term consequences of such a donor‐sponsored ‘NGO‐isation’ of different spheres of African society.

Suggested Citation

  • Julie Hearn, 1998. "The ‘NGO‐isation’ of Kenyan society: USAID & the restructuring of health care," Review of African Political Economy, Taylor & Francis Journals, vol. 25(75), pages 89-100.
    • Handle: RePEc:taf:revape:v:25:y:1998:i:75:p:89-100
    DOI: 10.1080/03056249808704294
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    Cited by:

    1. Jennings, Michael, 2015. "The precariousness of the franchise state: Voluntary sector health services and international NGOs in Tanzania, 1960s – mid-1980s," Social Science & Medicine, Elsevier, vol. 141(C), pages 1-8.
    2. Christopher J. Colvin & Myrna Pinxteren & Mandla Majola & Natalie Leon & Alison Swartz & Nonzuzo Mbokazi & Mark Lurie, 2020. "Fostering a healthy public for men and HIV: a case study of the Movement for Change and Social Justice (MCSJ)," Palgrave Communications, Palgrave Macmillan, vol. 6(1), pages 1-8, December.
    3. Rafiq, Mohamed Yunus & Wheatley, Hannah & Salti, Rashid & Shemdoe, Aloisia & Baraka, Jitihada & Mushi, Hildegalda, 2022. "“I let others speak about condoms:” Muslim religious leaders’ selective engagement with an NGO-Led family planning project in rural Tanzania," Social Science & Medicine, Elsevier, vol. 293(C).
    4. Nelson, Paul J. & Dorsey, Ellen, 2003. "At the Nexus of Human Rights and Development: New Methods and Strategies of Global NGOs," World Development, Elsevier, vol. 31(12), pages 2013-2026, December.

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