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CODESRIA Books Publication System
ISBN: 2-86978-182-2; ISBN 13: 9782869781825 ; 288 pages, 2008
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.
Tropical Medicine Research Center, Kumba SW Province,Cameroon.
Department of Social and Preventive Medicine, University of Montréal, Québec, Canada.
AIDS Focus, Ministry of Health Nairobi, Kenya.
Department of Economic and Management, Facultyof Social and Management Sciences, University of Buea, Cameroon.
TEYEN Research Foundation, Yaoundé, Cameroon
Department of Sociology & Anthropology, Egerton University, Njoro Kenya.
Department of Economics, Faculty of Arts & Social Sciences, Kyambogo University, Uganda.
MRC Laboratories, Faranni Field Station, Banjul, The Gambia.
Department of Psychology, University of Lagos, Lagos,Nigeria.
Department of Philosophy & Religious Studies, Egerton University, Njoro, Kenya.
Department of Local Government Studies, Faculty of Administration, Ahmadu Bello University, Zaria, Nigeria.
Chargé de Cours FSGA Université de Douala, Cameroun.
Department of Economic and Management Faculty of Social and Management Sciences, University of Buea, Cameroon.
Department of neurology, The University of Chicago Medical Center.
Human and Social Sciences Faculty of Tunis, Tunisia.
Amnesty International 303, Résidence Arame Siga Sacré- Coeur II Dakar (Senegal).
Département de sociologie, Université Mostaganem, Groupe de recherche en anthropologie de la santé, Algérie.
Chargé de Cours, Ecole nationale d'administration et de Magistrature,Brazzaville, Congo.
Department of Philosophy and Religious Studies, Egerton University, Kenya.
Institut de Recherche Agricole pour le Développement (IRAD/ASB), Yaoundé, Cameroun.
Département de Philosophie-Sociologie, Faculté des Lettres et des Sciences Humaines, Université de Douala.
APA Sama, M. T., Nguyen, V.-K., Anangwe, A., Molem, C. S., Penn, R., Ngetich, K. A., Mutabazi, M. M., Nyanzi, S., Agbu, J.-F., Parsitau, D. S., Massoud, O., Bayemi, V., Bouhdiba, S., Loppy, O. D., Mecheri, F., André, M., Parsitau, D., Binam, J. N., & Nkelzok, V. (2008). Governing Health Systems in Africa. CODESRIA. https://doi.org/10.57054/codesria.pub.188
Chicago Sama, Martyn T., Vinh-Kim Nguyen, Alfred Anangwe, Christopher Sama Molem, Richard Penn, Kibet A. Ngetich, Mugisha M. Mutabazi, et al. Governing Health Systems in Africa. Dakar: CODESRIA, 2008. https://doi.org/10.57054/codesria.pub.188.
MLA Sama, Martyn T., et al. Governing Health Systems in Africa. CODESRIA, 2008. https://doi.org/10.57054/codesria.pub.188.
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