wow-inequalities/02-data/intermediate/wos_sample/094645947829724c77ff112efe6e4ee9-sundby-johanne/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Global trends influence strategies for health-care delivery in low- and
middle-income countries. A drive towards uniformity in the design and
delivery of healthcare interventions, rather than solid local
adaptations, has come to dominate global health policies. This study is
a participatory longitudinal study of how one country in West Africa,
The Gambia, has responded to global health policy trends in maternal and
reproductive health, based on the authors'' experience working as a
public health researcher within The Gambia over two decades. The paper
demonstrates that though the health system is built largely upon the
principles of a decentralised and governed primary care system, as
delineated in the Alma-Ata Declaration, the more recent policies of The
Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria and the GAVI
Alliance have had a major influence on local policies. Vertically
designed health programmes have not been easily integrated with the
existing system, and priorities have been shifted according to shifting
donor streams. Local absorptive capacity has been undermined and
inequalities exacerbated within the system. This paper problematises
national actors'' lack of ability to manoeuvre within this policy
context. The authors'' observations of the consequences in the field over
time evoke many questions that warrant discussion, especially regarding
the tension between local state autonomy and the donor-driven trend
towards uniformity and top-down priority setting.'
affiliation: 'Sundby, J (Corresponding Author), Univ Oslo, Inst Hlth \& Soc, Oslo,
Norway.
Univ Oslo, Inst Hlth \& Soc, Oslo, Norway.'
author: Sundby, Johanne
author-email: johanne.sundby@medisin.uio.no
author_list:
- family: Sundby
given: Johanne
da: '2023-09-28'
doi: 10.1080/17441692.2014.940991
eissn: 1744-1706
files: []
issn: 1744-1692
journal: GLOBAL PUBLIC HEALTH
keywords: 'global health policy; local health systems; donor driven; public;
private'
keywords-plus: CARE; ORGANIZATION; INFERTILITY; COMMUNITY
language: English
number: 8, SI
number-of-cited-references: '26'
pages: 894-909
papis_id: 6a8d10abb3ed1fe994ba9e57e95ec118
ref: Sundby2014rollercoasterpolicy
times-cited: '11'
title: 'A rollercoaster of policy shifts: Global trends and reproductive health policy
in The Gambia'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000342138000004
usage-count-last-180-days: '0'
usage-count-since-2013: '7'
volume: '9'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2014'