Location of Repository

Hospital Policy in Sub-Saharan Africa and Post-Colonial Development Impasse

By Barbara McPake


The pattern of hospital development was set in colonised sub-Saharan countries in the\ud early twentieth century on the basis of the demands of the colonial project and the strategies of missions.\ud In the immediate post-independence period, democratic and egalitarian policy in some\ud countries pointed to the expansion of health services to under-served areas. However, independence\ud waned and more pronounced tensions emerged. Plans for expanded primary health care systems\ud were sacrificed in favour of hospital services for a privileged elite. Over the same period, a group of international agencies have been associated with the promotion of more egalitarian and primary health care-focused strategies. But there has been a failure to engage at the political level and a willingness to accept instead token assent to the strategy. The consequence for hospitals\ud has been an impasse. Hospitals do not meet elite expectations but neither do resources reach the larger population

Year: 2009
OAI identifier: oai:eresearch.qmu.ac.uk:728
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://eresearch.qmu.ac.uk/728... (external link)
  • http://dx.doi.org/10.1093/shm/... (external link)
  • Suggested articles

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.