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Supporting Local Health Care in a Chronic Crisis - Management and Financing Approaches in the Eastern Democratic Republic of the Congo (Paperback)
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Supporting Local Health Care in a Chronic Crisis - Management and Financing Approaches in the Eastern Democratic Republic of the Congo (Paperback)
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Providing medical support to the local population during a chronic
crisis is difficult. The crisis in the Democratic Republic of the
Congo (DRC), which is characterized by high excess mortality,
ongoing armed violence, mass forced displacement, interference by
neighboring countries, resource exploitation, asset stripping, and
the virtual absence of the state, has led to great poverty and a
dearth of funds for the support of the health system. International
nongovernmental organizations (NGOs) have stepped in to address the
dire humanitarian situation. This study looks at four organizations
that support local health care in the eastern DRC: the
International Rescue Committee (IRC), Malteser, Medical Emergency
Relief International (Merlin), and the Association Regionale
d'Approvisionnement en Medicaments Essentiels (ASRAMES). The study
makes a comparison of the management and financing approaches of
these four organizations by collecting and comparing qualitative
and quantitative data on their interaction with the (remaining)
local health providers and the local population. Specific
objectives of the study are: 1. To identify which management and
financing approaches, including the setting of fees, are used by
the four NGOs supporting healthcare in the eastern DRC. 2. To
determine how these financing approaches affect utilization rates
in the health zones supported by the four NGOs. 3. To assess how
these utilization rates compare with donor and humanitarian
standards. 4. To determine at what level fees must be set to allow
for cost recovery or cost sharing in health facilities. 5. To
identify the managerial problems confronting the four NGOs. Many
epidemiological and public health studies focus on the interaction
between health providers and target groups. Supporting Local Health
Care in a Chronic Crisis: Management and Financing Approaches in
the Eastern Democratic Republic of the Congo concentrates more on
how the relationship between the supporting NGOs and the local
health system actually develops. In addition, a common aspect of
many of the epidemiological and public health studies is the search
for an optimal, or at least appropriate, management and financing
approach.
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