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Supporting Local Health Care in a Chronic Crisis Management and Financing Approaches in the Eastern Democratic Republic of the Congo

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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),…    
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Book details

List price: $28.25
Copyright year: 2006
Publisher: National Academies Press
Publication date: 12/1/2005
Binding: Paperback
Pages: 104
Size: 6.00" wide x 8.75" long x 0.25" tall
Weight: 0.396
Language: English

Introduction
Background
The Health System in the DRC
The Problem
Methodology
The Organizations
International Rescue Committee
IRC Activities
Organizational Setup
Medical Emergency Relief International
Merlin Activities
Organizational Setup
Changes in Merlin's Approach
Malteser Bukavu
Malteser Activities
Organizational Setup
Association Regionale d'Approvisionnement en Medicaments Essentiels
ASRAMES Activities
Organizational Setup
Comparison of Organizational Approaches
Organizational Setup
Organizational Strategies
Main Findings
Different Approaches Concerning Indigent Care
Supply
Supervision: Capacity Building, Monitoring, and Evaluation
Revenues
IRC-Supported Health Facilities
ASRAMES-Supported Health Facilities
Merlin-Supported Health Facilities
Malteser-Supported Health Facilities
Revenues and Their Contribution to the Health System
Economic and Security Situation
Role of the Donors
Local Management
Discussion
Implications and Practical Considerations
Further Research
Bibliography
Merlin Standard Health Contract Agreement (Memorandum of Understanding)
About the Authors