Health sector reform in Mali, 1989-1996 - TropMed Central Antwerp ...

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Figure 30. The position of multilateral partners throughout the four stages
W. Bank UNICEF WHO EU UNFPA
stage 1 stage 2 stage 3 stage 4
Initial field implementations have had a leveraging effect. The
capacity of staff to defend and promote their new findings mobilized
indecisive participants while rallying opponents. They had some effect on
the evolution of the position of external partners, broadened alliances, and
favoured much greater mobilization. They also allowed better management
of pressure while reassuring partners and giving them more confidence in
the actors themselves. Over time, word of mouth following initial
experiences succeeded in changing the climate.
The positions of external partners were themselves far from being
homogeneous. It is only at the mid-term review that there was a consensus
on support. As for national participants, the stage of development of
strategies for change and, to a lesser degree, of first results did not provoke
enthusiasm. It is very likely that even if political transition had not
Studies in HSO&P,20,2003 127