[afro-nets] In preparation of People's Health Assembly II - part 17 (3)

[Billy Futter <B.Futter@ru.ac.za>]

In preparation of People's Health Assembly II - part 17 (3)
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Hi Peter

I agree with most of the points that you make, particularly from
the perspective of donor countries. The "should's" and "outht
to's" can't be faulted.

But just as management is a process, so is empowerment. In South
Africa, there is consensus on what should happen in terms of the
management process. However, there are many places in which the
management process (and attendant principles) is not adhered to.

I pose the question because I genuinely do not know the answer
"to what extent has there been donor investment in developing
countries in training health system managers?" The temptation is
often to retain stewardship of the donations. Donor personnel
accompany the donation and, to the best of their ability, manage
the process. There is some genuine effort to train the trainers
and some funding is provided for attendance at PRDU courses. But
once the period of the donation has, are the managers that are
left behind competent to sustain the management process at ac-
ceptable levels of efficiency and effectiveness?

Cheers,

Billy Futter
Associate Professor
Faculty of Pharmacy
Rhodes University, Grahamstown, South Africa
Tel: +27-46-603-8494
Fax: +27-46-636-1205
mailto:B.Futter@ru.ac.za