Sustaining provision in times of state inaction

In the Peruvian squatter settlement of Villa el Salvador in Lima, community organizations set up health care committees and arranged loans for the provision of water and other amenities during the initial stage of illegal occupation when the government would not provide services.

In Nicaragua, church based community groups designed and implemented health projects without outside coordination because government bureaucracy was too difficult to deal with and it wanted to exercise centralized control of health programmes.

Source: Robinson and White, 1997

 

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3. INTRODUCTION
Involvement in health

"Community participation"

Financing health systems
Decentralisation

Use of resources
Interactive exercise