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SUMMARY:Power\, authority\, and community participation in primary health-
 care centres: contrasting evidence from health facility committees in Sout
 h Kivu (DR Congo) and Burundi  - Dr Jean-Benoit Falisse\, University of Ed
 inburgh
DTSTART:20181119T170000Z
DTEND:20181119T180000Z
UID:TALK111496@talks.cam.ac.uk
CONTACT:Victoria Jones
DESCRIPTION:Since the 1987 Bamako Initiative\, community participation has
  become a mainstream approach for managing primary health-care in Africa. 
 There is\, however\, little empirical evidence that local participatory in
 stitutions ultimately improve service provision\, and health in general. T
 his paper considers the case of the elected health facility committees (th
 e comités de santé)\, the quintessential institution of community govern
 ance in health\, in the contexts of rural Burundi and the province of Sout
 h Kivu\, DR Congo\, between 2011 and 2014. It focuses on the effects of a 
 project implemented by ministries of health and aid organisations\, which 
 supported and trained health committee members.\nUsing a mix of qualitativ
 e and quantitative methods --including interviews\, grey document analysis
 \, and a randomised control trial-- stark differences are found between ca
 ses: training the committees led to remarkable improvements in primary hea
 lth-care management in South Kivu\, but much less so in Burundi. The core 
 of the paper discusses this very visible difference\; it argues that an of
 t-neglected\, yet critical\, element to the efficiency of community partic
 ipation initiatives in health is ordinary people's relationship to medical
  and non-medical authority. Diverse experiences of war and violence\, dist
 inct histories of autocratic rule\, and different types of settlements sug
 gest that this relationship is more horizontal in South Kivu\, where power
  is openly contested and discussed\, than in Burundi.
LOCATION:Seminar Room S1 Alison Richard Building\, 7 West Road\, Cambridge
  CB3 9DT
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