When development breeds contempt: case examples of community-driven health systems initiatives

Ingrid Nanne, Mosa Moshabela, Uyen Huynh and Papa Meissa Diop

Development in Practice, 2015, vol. 25, issue 8, 1120-1130

Abstract: This article discusses case examples of community-led initiatives triggered by the introduction of an external development programme in Senegal and Mali. These are community initiatives that learn from projects initiated and funded by an external donor organisation, and transform interventions to better meet their own needs. The circumstances leading to the demand for, and successful establishment of, health infrastructure are examined to understand the triggers. These breakthroughs demonstrate unintended benefits of development, and the need to leverage donor-led initiatives. Therefore, community involvement, participation, and empowerment are key in establishing local ownership in development projects.

Date: 2015
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DOI: 10.1080/09614524.2015.1082534

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