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Constraints to scaling-up health related interventions: the case of Chad, Central Africa

Author

Listed:
  • Kaspar Wyss

    (Swiss Centre for International Health, Swiss Tropical Institute, Basel, Switzerland)

  • Daugla Doumagoum Moto

    (Centre de Support en Santé Internationale, N'Djaména, Chad)

  • Bart Callewaert

    (Association pour la Promotion de la Santé en Afrique, N'Djaména, Chad)

Abstract

This analysis of constraints to scaling-up health-related interventions in Chad shows that emphasis has to be put on systemic approaches which address absorptive capacity, on removal of structural constraints, and on efficient and equitable production of health services. In the production of services the development of infrastructure must not exceed the development of human resources. If the millennium development goals are to be achieved, major investments in basic and in-service training and in management skills are crucially needed. In addition, the study shows the importance of promoting health services which actively seek to fulfil community demands and those of disadvantaged groups. Copyright © 2003 John Wiley & Sons, Ltd.

Suggested Citation

  • Kaspar Wyss & Daugla Doumagoum Moto & Bart Callewaert, 2003. "Constraints to scaling-up health related interventions: the case of Chad, Central Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 87-100.
    • Handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:87-100
    DOI: 10.1002/jid.967
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    References listed on IDEAS

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    1. Lilani Kumaranayake & Charlotte Watts, 2001. "Resource allocation and priority setting of HIV|AIDS interventions: addressing the generalized epidemic in sub-Saharan Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(4), pages 451-466.
    2. Hampshire, Kate, 2002. "Networks of nomads: negotiating access to health resources among pastoralist women in Chad," Social Science & Medicine, Elsevier, vol. 54(7), pages 1025-1037, April.
    3. World Bank, 2002. "World Development Indicators 2002," World Bank Publications - Books, The World Bank Group, number 13921, April.
    4. Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
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    Cited by:

    1. M. Kent Ranson & Kara Hanson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Constraints to expanding access to health interventions: an empirical analysis and country typology," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 15-39.
    2. repec:unu:wpaper:wp2012-69 is not listed on IDEAS
    3. Arnab Acharya & Melisa Martínez-Álvarez, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series wp-2012-069, World Institute for Development Economic Research (UNU-WIDER).
    4. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    5. Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
    6. World Bank, 2004. "Improving Health, Nutrition and Population Outcomes in Sub-Saharan Africa : The Role of the World Bank," World Bank Publications - Reports 14418, The World Bank Group.
    7. Acharya, Arnab & Martínez-Álvarez, Melisa, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series 069, World Institute for Development Economic Research (UNU-WIDER).
    8. Charbel El Bcheraoui & Yodé Miangotar & Farah Daoud & Ellen Squire & Honoré Mimche, 2018. "Advantages and disadvantages of channeling Gavi’s health system strengthening funds through health partners, a case study," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.

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