Innovative Proposals for Primary Health Care Access in Poor Urban Areas of Developing Countries: experiences from Delmas, Port au Prince, Haiti
Inhabitants of poor neighborhoods of Delmas in Haiti’s capital Port au Prince, are among the many people in the world suffering from crucially limited primary health care access. The Haitian-Norwegian organization Prosjekt Haiti (Project Haiti) and the local health care initiative Sante pour Tous (Health for All) attempt to navigate to stake out strategies for a collaboration to improve primary health care access, also for the poor strata of Delmas’ population. This report aims to assist the intentions of Prosjekt Haiti and Sante pour Tous through offering potentially innovative proposals for these two NGOs primary health care collaboration. Through a critical ethnographic approach the report will draw on information gained by means of field work, focus group discussions with local people, and interviews with health workers and resource persons, the report shall discuss barriers and proposals for solutions evolving the research theme. The results show actual disparities between envisioned delivery and perceived access. Phenomena of ‘structural violence’ are found to be the core of the unhealthy conditions encountered at the site. Consequently, the local population lacked faith in improvements both from the public sector and own initiative. The conclusion reaches lists of proposals to the work of the two NGOs’ primary health care collaboration, the main point given being involvement of local population on all levels.
ForlagUiT Norges arktiske universitet
UiT The Arctic University of Norway
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