Governing health systems in Africa (Council for the Development of Social Science Research in Africa, 2008)
Includes bibliographical references
Governing the health system in Africa / Martyn T. Sama and Vinh-Kim Nguyen -- Governance and primary health care delivery in Nigeria / Omar Massoud -- Governing traditional health care sector in Kenya : strategies and setbacks / Kibet A. Ngetich -- Corruption et crise des hôpitaux publics á Douala : le schémas d'une organisation tripolaire / Victor Bayemi -- Health sector reforms in Kenya : user fees / Alfred Anangwe -- Decentralisation of health care spending and HIV/AIDS in Cameroon / Christopher Sama Molem -- Another look at community-directed treatment (ComDT) in Cameroon : a quality challenge to health system development / Martyn T. Sama and Richard Penn -- Le système de santé au Maghreb / Sofiane Bouhdiba -- Le lutte contre le SIDA en Afrique du Nord / Sofiane Bouhdiba -- Les maladies chroniques non transmissibles dans le système de santé au Sénégal : le cas du diabète dans la ville de Dakar / Oupa Diossine Loppy -- La gestion de maladies chroniques en Algérie : le cas du cancer / Farida Mecheri -- Situation des malades tuberculeux perdus de vue en cours de traitement au centre antituberculeux de Brazzaville (Congo) : une revue / Mbou André -- Retirement stress in Nigeria : a psycho-political analysis / Jane-Frances Agbu -- Préfinancement communautaire des soins de santé pour un meilleurs accès des populations rurales aux services de santé de base : une estimation du consentement à pre-payer des ménages au Centre du Cameroun / Joachim Nyemeck Binam et Valère Nkelzok -- The impact of structural adjustment programmes (SAPs) on women's health in Kenya / Damaris S. Parsitau -- Should we 'modernise' traditional medicine? / Mugisha M. Mutabazi -- Empowering traditional birth attendants in the Gambia : a local strategy to redress issues of access, equity and sustainability / Stella Nyanzi -- Social context and determinants of HIV transmission : lessons from Africa / Vinh-Kim Nguyen and Martyn T. Sama
"Drawing on various disciplinary perspectives, this book re-focuses the debate on what makes a good health system, with a view to clarifying the uses of social science research in thinking about health care issues in Africa. The explosion of the HIV/AIDS pandemic, the persistence of malaria as a major killer, and the resurgence of diseases like tuberculosis which were previously under control, have brought about changes in the health system, with implications for its governance, especially in view of the diminished capacity of the public health facilities to cope with a complex range of expanded needs. Government responsibilities and objectives in the health sector have been redefined, with private sector entities (both for profit and not-for profit) playing an increasingly visible role in health care provisions. The reasons for collaborative patterns vary, but chronic under-funding of publicly financed health services is often an important factor. Processes of decentralisation and health sector reforms have had mixed effects on health care system performance; while private health insurance markets and private clinics are pointers to a growing stratification of the health market, in line with the intensified income and social differentiation that has occurred over the last two decades.These developments call for health sector reforms." -- Book cover