Exploring the consequences of decentralization: has privatization of health services been the perceived effect of decentralization in Khartoum locality, Sudan?

BMC Health Services Research
Bandar NooryGunnar Bjune

Abstract

The health system of Sudan has experienced several forms of decentralization, as well as, a radical reform. Authority and governance of secondary and tertiary health facilities have been shifted from federal to state levels. Moreover, the provision of health care services have been moved from large federal tertiary level hospitals such as Khartoum Teaching Hospital (KTH) and Jafaar Ibnoaf Hospital (JIH), located in the center of Khartoum, to smaller district secondary hospitals like Ibrahim Malik (IBMH), which is located in the southern part of Khartoum. Exploring stakeholders' perceptions on this decentralisation implementation and its relevant consequences is vital in building an empirical benchmark for the improvement of health systems. This study utilised a qualitative design which is comprised of in-depth interviews and qualitative content analysis with an inductive approach. The study was conducted between July and December 2015, and aimed at understanding the personal experiences and perceptions of stakeholders towards decentralisation enforcement and the implications on public health services, with a particular focus on the Khartoum locality. It involved community members residing in the Khartoum Locality, specifically ...Continue Reading

References

Jul 27, 2004·Medical Anthropology Quarterly·Craig R Janes, Oyuntsetseg Chuluundorj
Nov 29, 2013·The International Journal of Health Planning and Management·Zacharia S MasanyiwaCatrien J A M Termeer

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Citations

Apr 6, 2021·Current Tropical Medicine Reports·Nada FadulAbdelaal A Fadul

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