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Constraints to scaling‐up health related interventions: the case of Chad, Central Africa
Author(s) -
Wyss Kaspar,
Doumagoum Moto Daugla,
Callewaert Bart
Publication year - 2003
Publication title -
journal of international development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 66
eISSN - 1099-1328
pISSN - 0954-1748
DOI - 10.1002/jid.967
Subject(s) - disadvantaged , psychological intervention , economic growth , absorptive capacity , millennium development goals , business , health services , production (economics) , human development (humanity) , public economics , economics , developing country , environmental health , medicine , industrial organization , nursing , population , macroeconomics
Abstract This analysis of constraints to scaling‐up health‐related interventions in Chad shows that emphasis has to be put on systemic approaches which address absorptive capacity, on removal of structural constraints, and on efficient and equitable production of health services. In the production of services the development of infrastructure must not exceed the development of human resources. If the millennium development goals are to be achieved, major investments in basic and in‐service training and in management skills are crucially needed. In addition, the study shows the importance of promoting health services which actively seek to fulfil community demands and those of disadvantaged groups. Copyright © 2003 John Wiley & Sons, Ltd.