Title |
The impact of global health initiatives on trust in health care provision under extreme resource scarcity: presenting an agenda for debate from a case study of emergency obstetric care in Northern Tanzania
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Published in |
Health Research Policy and Systems, May 2010
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DOI | 10.1186/1478-4505-8-14 |
Pubmed ID | |
Authors |
Øystein E Olsen |
Abstract |
Through the nearly three decades that have passed since the Alma Ata conference on Primary Health Care, a wide range of global health initiatives and ideas have been advocated to improve the health of people living in developing countries. The issues raised in the Primary Health Care concept, the Structural Adjustment Programmes and the Health Sector Reforms have all influenced health service delivery. Increasingly however, health systems in developing countries are being described as having collapsed Do the advocated frameworks contribute to this collapse through not adequately including population trust as a determinant of the revival of health services, or are they primarily designed to satisfy the values of other actors within the health care system? This article argues there is an urgent need to challenge common thinking on health care provision under extreme resource scarcity. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 20% |
Namibia | 1 | 10% |
Tanzania, United Republic of | 1 | 10% |
Canada | 1 | 10% |
Switzerland | 1 | 10% |
Norway | 1 | 10% |
Unknown | 3 | 30% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 70% |
Practitioners (doctors, other healthcare professionals) | 2 | 20% |
Scientists | 1 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 3% |
Colombia | 1 | 2% |
United Kingdom | 1 | 2% |
Indonesia | 1 | 2% |
Bhutan | 1 | 2% |
Sierra Leone | 1 | 2% |
Unknown | 55 | 89% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 19 | 31% |
Researcher | 8 | 13% |
Student > Ph. D. Student | 8 | 13% |
Student > Postgraduate | 4 | 6% |
Professor > Associate Professor | 4 | 6% |
Other | 14 | 23% |
Unknown | 5 | 8% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 23 | 37% |
Social Sciences | 10 | 16% |
Nursing and Health Professions | 8 | 13% |
Business, Management and Accounting | 5 | 8% |
Agricultural and Biological Sciences | 4 | 6% |
Other | 7 | 11% |
Unknown | 5 | 8% |