[Easttimorstudies] Article on the Health System
jenster at cres10.anu.edu.au
Wed May 24 11:37:40 EST 2006
Health Policy Plan. 2006 May;21(3):206-16. Epub 2006 Mar 24.
Rehabilitating the health system after conflict in East Timor: a
shift from NGO to government leadership.
Health Policy Unit, London School of Hygiene and Tropical Medicine,
Keppel Street, London, WC1E 7HT, U.K. E-mail: alvaro.alonso at lshtm.ac.uk.
Efforts to rehabilitate health systems after periods of prolonged
conflict have often been characterized by poor coordination of
external actors - multilateral agencies, donors and non-governmental
organizations (NGOs). This paper describes the process and analyses
the roles of the different stakeholders in the establishment of a
government-led district health system in East Timor, between 1999 and
2002, after decades of chronic conflict and Indonesian occupation.
Future East Timorese policy-makers and health professionals began to
mobilize in May 1999, in preparation for independence. During the
emergency phase, from September 1999, when violence erupted, to March
2000, NGOs played a major role in the provision of relief to the
population, coordinated by United Nations agencies. An Interim Health
Authority, led by local Timorese, was established in March and the
major donors began to shift funding from NGOs to the newly
established Ministry of Health. A rapid phasing-out of NGOs,
accompanied by a sequence of steps to build the capacity of Timorese
to manage the new district health system, was implemented. Early
evidence shows that health service utilization continued to grow
during and after implementation.
More information about the Easttimorstudies