- Page 2 and 3: Studies in Health Services Organisa
- Page 5: Acknowledgements The authors partic
- Page 9 and 10: purchase drugs from the dispensarie
- Page 11 and 12: workshops and specialized studies b
- Page 13 and 14: Community participation in managing
- Page 15 and 16: decentralization, and integration o
- Page 17 and 18: esearchers were often involved in d
- Page 19 and 20: Achievements and problems Declarati
- Page 21 and 22: 1990-1992: towards a strategy for c
- Page 23 and 24: technical assistants who were exper
- Page 25 and 26: making all the right decisions at t
- Page 27 and 28: plans started with a discussion of
- Page 29 and 30: extending coverage. Initially, each
- Page 31 and 32: the district, and to assess what hu
- Page 33 and 34: of the area. • Guarantees a minim
- Page 35 and 36: Health (to such an extent that some
- Page 37 and 38: THE ISSUE OF ESSENTIAL DRUGS From i
- Page 39 and 40: The new strategies were developed w
- Page 41 and 42: That may appear simple and obvious,
- Page 43 and 44: managerial instrument tools for fol
- Page 45 and 46: operational forms to facilitate int
- Page 47 and 48: that were largely committed did not
- Page 49 and 50: Table 9: Achievements and problems
- Page 51 and 52: 1993-1995: first achievements Distr
- Page 53 and 54: Methods workshop 2 weeks Finalizing
- Page 55 and 56: evaluation of the approaches was po
- Page 57 and 58:
approach through negotiations, with
- Page 59 and 60:
Figure 9. Performance in the health
- Page 61 and 62:
In Dougouolo, a survey 45 revealed
- Page 63 and 64:
REACTION Establishing the MPS with
- Page 65 and 66:
transformed into a ComHC? Should th
- Page 67 and 68:
contributed to the debate at the na
- Page 69 and 70:
Organizing and developing referral
- Page 71 and 72:
on these experiments, but in both s
- Page 73 and 74:
% Expected births Figure 12. Obstet
- Page 75 and 76:
ambulance evacuation by the health
- Page 77 and 78:
The ComHA-BA—the community health
- Page 79 and 80:
maintaining the centre’s capacity
- Page 81 and 82:
Table 15. Effects of contractual mo
- Page 83 and 84:
Motivation of health staff received
- Page 85 and 86:
Financing of the sector and viabili
- Page 87 and 88:
financing of the ComHCs was conside
- Page 89 and 90:
to placing the complex and costly r
- Page 91 and 92:
Profit on drugs. Another aspect tes
- Page 93 and 94:
These simulations deliberately favo
- Page 95 and 96:
Table 20. Distribution of investmen
- Page 97 and 98:
Results for the first ComHCs projec
- Page 99 and 100:
The answers to these questions emer
- Page 101 and 102:
Specific contracts had no justifica
- Page 103 and 104:
etter still, to do it in a way that
- Page 105 and 106:
Table 22. Operating account for23 C
- Page 107 and 108:
1995. Even though begun, this evolu
- Page 109 and 110:
1994-1995: Scaling up and improving
- Page 111 and 112:
implementations and their acceptabi
- Page 113 and 114:
Extension of coverage had to be acc
- Page 115 and 116:
priority was always given to the se
- Page 117 and 118:
When achievements started to mount
- Page 119 and 120:
Faced with increasing pressure, tec
- Page 121 and 122:
Figure 24. Performance achieved in
- Page 123 and 124:
SDHC; on the right, the area that b
- Page 125 and 126:
situation opened prospects for inte
- Page 127 and 128:
Managing change Without the project
- Page 129 and 130:
Figure 27. The position of national
- Page 131 and 132:
commitment score 5 4 3 2 1 0 -1 -2
- Page 133 and 134:
Joint central supervision 104 playe
- Page 135 and 136:
Table of contents Acknowledgements