These NGO and community based
services have been reported to:
- provide higher quality services,
particularly in relation to drug availability, although the evidence
on this is not consistent;
- provide a lobby for equity
in health, such as for gender sensitivity or the needs of especially
vulnerable groups;
- draw attention to and stimulate
commitment to health policies which protect the interests of
the poor;
- act as an intermediary between
communities and government;
- provide technical skills;
- use participatory and consultative
approaches, adapted to local conditions, although not always
consistently so;
- be more efficient operationally
than state services, with lower costs per visit, more patients
seen and more efficient drug procurement, although studies have
not indicated systematic evidence for this;
- use innovative, results-based
management systems, but with external funding, sometimes undermining
local accountability
- reach remote areas poorly
served by government facilities and, in some countries, provide
the only form of health care or social welfare accessible to
the poorest and most vulnerable groups;
- innovate and disseminate good
practice to other NGOs or the state sector, e.g. PHC, integration
of traditional medicine (WHO,
1997; Robinson
and White, 1997; WHO,
Government of Ireland, 1997; Brown
& Ashman, 1996).
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