Constraints to scaling-up health related interventions: the case of Chad, Central Africa

Kaspar Wyss, Daugla Doumagoum Moto and Bart Callewaert
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Kaspar Wyss: Swiss Centre for International Health, Swiss Tropical Institute, Basel, Switzerland, Postal: Swiss Centre for International Health, Swiss Tropical Institute, Basel, Switzerland
Daugla Doumagoum Moto: Centre de Support en Santé Internationale, N'Djaména, Chad, Postal: Centre de Support en Santé Internationale, N'Djaména, Chad
Bart Callewaert: Association pour la Promotion de la Santé en Afrique, N'Djaména, Chad, Postal: Association pour la Promotion de la Santé en Afrique, N'Djaména, Chad

Journal of International Development, 2003, vol. 15, issue 1, 87-100

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.

Date: 2003
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:15:y:2003:i:1:p:87-100

DOI: 10.1002/jid.967

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