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Top > Health policy issues > |
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WORKING THE SYSTEM:Cambodian health provider’s response to health sector reform
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| Contributor: |
Resource Librarian
Racha |
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Contributed: 16-Oct-2003
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| Author: |
Natalie Grove
Pat Naidoo
Margaret Ward
Lauren Weller |
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Published: 30-Mar-2002
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One of the conclusions of the study is that there is potential to improve the HCP by incorporating providers' sense of roles and responsibilities, especially as they relate to the community. Secondly the 'manoeuvring' in the health centre is a complex response that is not motivated by economic goals alone. However it is clear that manoeuvring will continue while ever the mismatch between expectations of the staff and the resources available to them continues. In addition there is evidence that manoeuvring is representative of strong and creative leadership in many instances, and that there is substantial capacity at the health centre level to develop management skills. The current environment however is resistant to decentralisation and there is little experience of decision making responsibilities being held at lower levels such as the OD and the health centres. And finally this paper concludes that regardless of the strategies employed by donor agencies and the MoH, health providers will support reform to the extent that reform is congruent with provider's needs and their professional roles
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