Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese

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dc.contributor.advisorOlivier, Jillen_ZA
dc.contributor.authorKuh, Bang Jacoben_ZA
dc.date.accessioned2015-06-26T11:23:45Z
dc.date.available2015-06-26T11:23:45Z
dc.date.issued2014en_ZA
dc.descriptionIncludes bibliographical references.en_ZA
dc.description.abstractLower to middle-income countries are often unable to provide comprehensive health care to their citizens, and weak health systems have increasingly been identified as a key factor in this failure. Many interventions are being implemented to strengthen the health systems of lower to middle-income countries. Public-private partnership (PPP) in health care has been identified as one such key strategy and solution. Although the specific rewards of-or obstacles to PPP have not yet been strongly evidenced, PPP interventions are being advised and adopted in many countries as a key health systems intervention. It is therefore important to assess and understand the effects of such PPP efforts. This study focuses on a particular PPP arrangement in Cameroon –between non-profit faith-based providers and the Cameroonian Ministry of Health. This partnership is based primarily on the secondment of government-employed health workers into the faith-based health system. This case study focuses in particular on this arrangement as it is experienced in the Catholic Maroua-Mokolo Diocese in the Far North Region of Cameroon. This study finds that although PPP is considered to be helpful in strengthening the national health systems functioning –in this case, all of the focus has been on the secondment mechanism and visible resourcing. Not enough attention has been given to the less visible aspects of partnership such as clashes between workers’ aspirations or organisation cultures. This study demonstrates the problems inherent in an applied systems intervention that disrupts existing modes of operation, and does not answer to individuals' aspirations. It is demonstrated that such an intervention mainly results in various forms of resistance rather than immediately strengthened partnership.en_ZA
dc.identifier.apacitationKuh, B. J. (2014). <i>Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/13134en_ZA
dc.identifier.chicagocitationKuh, Bang Jacob. <i>"Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2014. http://hdl.handle.net/11427/13134en_ZA
dc.identifier.citationKuh, B. 2014. Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kuh, Bang Jacob AB - Lower to middle-income countries are often unable to provide comprehensive health care to their citizens, and weak health systems have increasingly been identified as a key factor in this failure. Many interventions are being implemented to strengthen the health systems of lower to middle-income countries. Public-private partnership (PPP) in health care has been identified as one such key strategy and solution. Although the specific rewards of-or obstacles to PPP have not yet been strongly evidenced, PPP interventions are being advised and adopted in many countries as a key health systems intervention. It is therefore important to assess and understand the effects of such PPP efforts. This study focuses on a particular PPP arrangement in Cameroon –between non-profit faith-based providers and the Cameroonian Ministry of Health. This partnership is based primarily on the secondment of government-employed health workers into the faith-based health system. This case study focuses in particular on this arrangement as it is experienced in the Catholic Maroua-Mokolo Diocese in the Far North Region of Cameroon. This study finds that although PPP is considered to be helpful in strengthening the national health systems functioning –in this case, all of the focus has been on the secondment mechanism and visible resourcing. Not enough attention has been given to the less visible aspects of partnership such as clashes between workers’ aspirations or organisation cultures. This study demonstrates the problems inherent in an applied systems intervention that disrupts existing modes of operation, and does not answer to individuals' aspirations. It is demonstrated that such an intervention mainly results in various forms of resistance rather than immediately strengthened partnership. DA - 2014 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese TI - Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese UR - http://hdl.handle.net/11427/13134 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/13134
dc.identifier.vancouvercitationKuh BJ. Public private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Diocese. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2014 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/13134en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Healthen_ZA
dc.titlePublic private partnership in the Cameroonian health system : a case study of staff secondment into the Maroua – Mokolo Dioceseen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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