Health and governance in sub-Saharan Africa
Clara Carvalho (ISCTE - University Institute of Lisbon)
Albert Roca (University of Lleida)
Start time:
29 June, 2013 at 9:00
Session slots:

Short abstract:

Providing healthcare has been one of the major challenges of development programs, obliging to a coordination between state institutions and civil society agents that is not always effective. This panel discusses the consequences of aid on healthcare systems, stressing the role of non-state agents.

Long abstract:

Providing healthcare has been one of the major challenges of development programs. Understanding these challenges requires taking into account that healthcare, since the nineteenth century, has increasingly become one of the basic competences of the modern state. The nineties signaled a change in the development projects that were being the target of criticism regarding their ideology and effectiveness, and signaled a change in the intervening parties that turned towards civil society agents. Some studies stressed that the allocation of resources to NGOs instead of government institutions have increased social inequalities, even if these organisms have provided a more effective health care approach, particularly in sensitive pathologies such as infectious diseases or HIV-AIDS. However, these interventions also highlighted the need for a better coordination with the public health system, an objective stressed by the Paris Declaration, 2005, and reiterated in Accra, 2008, and Buzan, 2011. This panel welcomes contributions that reflect on the effect of aid on healthcare and welfare systems, particularly stressing the role the main agents in healthcare besides the public services, such as NGOs, traditional therapists, churches, as well as as enterprises - through corporate responsibility programs - and associations; the limits for state intervention, namely the definition of subsidized primary healthcare; what kind of effect do this policies have on the more vulnerable sectors of the population, namely women and children.