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Commitment, conscience or compromise: the changing financial basis and evolving role of Christian health services in developing countries

Rookes, Peter John (2010)
Ph.D. thesis, University of Birmingham.

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This research investigates the changes in the operations of CHSs (Christian health services) in developing countries, particularly their funding bases, relationships with their respective governments, and the extent to which these have resulted in changes to the socioeconomic characteristics of their users. Three main areas of study are woven together: the history of medical mission, health service management and its response to the pressures of the last half-century, and the role of non-state providers in a comprehensive health care system. Evidence was assembled from interviews with officials of twelve UK based mission organisations, a survey of CHSs in thirteen countries, and case studies of CHS provision in Malawi and India based mainly on extensive interviews with selected stakeholders. The research confirmed that funds received by CHSs from mission organisations have declined and are now more often in the form of project funding. CHSs have, for the most part, continued to provide services for the poor in a variety of ways: first, by providing low cost services; second, by developing hi-tech tertiary services, the profits from which subsidise services for the poor; and third, by working more collaboratively with governments, for which they receive varying degrees of financial and other support.

Type of Work:Ph.D. thesis.
Supervisor(s):Rakodi, Carole and Kim, Kirsteen
School/Faculty:Colleges (2008 onwards) > College of Social Sciences
Department:School of Government and Society, International Development Department
Additional Information:

This work was published in book format by LAP, ISBN: 978-3-8473-1940-5

Subjects:H Social Sciences (General)
HV Social pathology. Social and public welfare
Institution:University of Birmingham
ID Code:829
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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