Citizens Voice Influencing Health District Governance

Mbah P Okwen / SNV

The World Health Organisation recognises that poor governance at district health services results in corruption, patient vulnerability, lack of rule of law, poor patient information, unsafe healthcare practices and poor quality of service. In the systemic quality improvement assessment of the Millennium Development Goals, health governance in Cameroon scored lowest in national health sector performance and was identified as key in low performance on health related Millennium Development Goals.

In Cameroon, communities are represented in the health district management committees that have been set up by the ministry of public health to facilitate social control and community participation at public hospitals. The committees however lack the capacity to play this role and often feel more accountable to the health authorities than to the community that elected them. The result was that communities did not participate in health district decision-making.

Year of publication: 
SNV Case story collection
Themes and sectors: 
Civil society
Themes and sectors: 
Health sector

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