Contracting between faith-based and public health sector in Sub-Saharan Africa: An ongoing crisis? The case of Cameroon, Tanzania, Chad and Uganda
The Medicus Mundi International Network launched the report "Contracting between faith-based and public health sector in Sub-Saharan Africa: An ongoing crisis?" at a side event to the Network's Annual Assembly, in May 2009.
The contracting crisis
Contracting between faith-based district hospitals and public health authorities in Africa faces a crisis.
This is the main conclusion of a study conducted for the Medicus Mundi International Network by the Institute of Tropical Medicine Antwerp (ITM), and including cases from Cameroon, Uganda, Tanzania and Chad.
In spite of the wide variety of contexts and experiences, the different case studies show that contracting between the State and faith-based district health sector has run into great difficulties.
To make matters worse, there is no general awareness of the crisis, certainly not among the public sector actors. Unless correcting measures are taken, this almost hidden crisis risks to jeopardize in the medium-term the important contribution which the faith-based facilities make to the provision of care in Africa.
The Medicus Mundi International Network is herewith disseminating the results of the study in order to contribute to the development of awareness of the situation and the urgency of change, and this not only in the countries and cases included in the study, but also with international cooperation actors. By helping to disseminate results, we hope to contribute to the joint search for structural solutions.
The Report
Contracting between faith-based and public health
sector in Sub-Saharan Africa: An ongoing crisis?
The case of Cameroon, Tanzania, Chad and Uganda
By Delphine Boulenger, Basile Keugoung & Bart Criel
Institute of Tropical Medicine, Antwerp
Study commissioned and published by the Medicus Mundi International Network (MMI), Basel, May 2009.
- A CD-Rom of the study report is available at the MMI office (English and French versions; 10 EUR/15 CHF for shipping costs).
- A printed version will be eventually published by the ITM Antwerp.
Our gratitude goes to the ITM Antwerp team, to the MMI Network members and to all the people and organisations that supported the realization of this study.
Download the Report
| English version |
French version |
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| Full Report |
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| Introduction and Executive Summary |
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| Foreword by Guus Eskens MMI President |
ePlatform |
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| Annexes | Please order at MMI office |
Please order at MMI office |
| Case study: Cameroon | ||
| Case Study: Tanzania | ||
| Case Study: Chad | ||
| Case study: Uganda |
Launch and follow-up
A launch event took place on 21st May 2009 at Chateau de Bossey, Switzerland, as a side event to the Annual Assembly of Medicus Mundi International.
| Presentation: Welcome and introduction. By Thomas Schwarz, Medicus Mundi International Network |
PPT (as PDF) |
| Presentation: The report - main findings and recommendations By Bart Criel and Delphine Boulenger, ITG Antwerp |
PPT (as PDF) |
| Presentation: Follow-up to the report. By Guus Eskens, Medicus Mundi International Network |
PPT (as PDF) |
| Presentation: Comments on the report. By Jean Perrot, World Health Organization |
PPT (as PDF) |
| Invitation flyer for the launch event |
MMI will try to share results with each of the countries included to the study, organising participative restitution under the lead of local stakeholders. In December 2009, a national restitution workshop took place in Kampala, Uganda.
Contact: office@medicusmundi.org
Short URL of this page: www.medicusmundi.org/contracting
More on contracting: Topic page of MMI ePlatform
