Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
The Lancet (British edition), 2015-05, Vol.385 (9983), p.2134-2135
Ort / Verlag
England: Elsevier Ltd
Erscheinungsjahr
2015
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Local expertise has frequently been ignored with the result that programmes are ineffective and parallel systems of health care have been created which weaken rather than strengthen local health systems.6 Worse still, there has sometimes been fierce competition between foreign donor organisations as they manoeuvre like commercial businesses to outflank their competitors for funding and prestige. Rwanda has been rebuilding itself in the 20 years since the genocide and now has a social insurance health system that reaches nearly 90% of the population and effective local health services in almost all parts of the country.7 It is widely regarded as an example of country leadership and partner support with strong and mature relationships being developed between Rwanda and its main partners.8 A distinctively Rwandan approach to health improvement has developed that is suited to the country's own social, economic, and physical environment.