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Research Article
Constraints to scaling-up health related interventions: the case of Chad, Central Africa
Article first published online: 7 JAN 2003
DOI: 10.1002/jid.967
Copyright © 2003 John Wiley & Sons, Ltd.
Issue
1099-1328/asset/cover.gif?v=1&s=fd413a4d60b54785477481c87152296ee1c95e79 "Journal of International Development")
Journal of International Development
Special Issue: Expanding Access to Health Interventions in Low and Middle-Income Countries: Constraints and Opportunities for Scaling-Up
Volume 15, Issue 1, pages 87–100, January 2003
Additional Information
How to Cite
Wyss, K., Doumagoum Moto, D. and Callewaert, B. (2003), Constraints to scaling-up health related interventions: the case of Chad, Central Africa. J. Int. Dev., 15: 87–100. doi: 10.1002/jid.967
Publication History
- Issue published online: 7 JAN 2003
- Article first published online: 7 JAN 2003
- Abstract
- References
- Cited By
Abstract
This analysis of constraints to scaling-up health-related interventions in Chad shows that emphasis has to be put on systemic approaches which address absorptive capacity, on removal of structural constraints, and on efficient and equitable production of health services. In the production of services the development of infrastructure must not exceed the development of human resources. If the millennium development goals are to be achieved, major investments in basic and in-service training and in management skills are crucially needed. In addition, the study shows the importance of promoting health services which actively seek to fulfil community demands and those of disadvantaged groups. Copyright © 2003 John Wiley & Sons, Ltd.