P184
Local health-care governance in troubled times

Convenors:
Jean-BenoƮt Falisse (University of Edinburgh)
Joelle Schwarz (University of Lausanne)
Format:
Panels
Location:
KH120
Start time:
30 June, 2017 at 14:00
Session slots:
1

Short abstract:

The concept of health system 'resilience' through and after recent African sanitary and political crises is explored adopting an empirical and political economy angle, which looks at dichotomies such as urban/rural, faith-based/public, community/top-down, and international aid/local politics.

Long abstract:

Following the Ebola sanitary crisis and the renewed tensions in Central Africa (CAR, South Sudan, and Burundi), the idea of health system 'resilience' has emerged as a new buzzword in the global public health discourse. This panel seeks to explore what 'resilience' could mean in the field, in terms of the day-to-day administration of health clinics and health services that are regularly cut off from their national or district-level authorities. How do local health staffs deal with protracted and sometimes repeated crises? What are their strategies in urban and rural settings? How do public, faith-based, and private providers' responses differ? What is the role of communities and community institutions? The presentations will look at the local politics of health-care and the effects of changing power relationships on health services delivery. They will also pay attention to what happens with the local administration of flagship strategies developed to re-build health systems (e.g. results-based financing, health system reform, e-health), often with strong donor support, when new crises occur.