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© Koninklijke Brill NV, Leiden, 2007 DOI: 10.1163/157430107X210072 Religion & Th eology 14 (2007) 84–93 www.brill.nl/rt & Religion Theology Clanging Symbols Deborah A. Mcfarland * Professor of Global Public Health, Rollins School of Public Health, Emory University, Grace Crum Rollins Building, 1518 Clifton Road, Atlanta, Georgia 30322, United States of America dmcfarl@sph.emory.edu Abstract Health systems in Africa confront mounting disease burdens in very poor populations with meagre financial and human resources. Religious health assets, tangible and intangible, can be a fulcrum for specific strategies to strengthen health systems resting on a set of guiding principles, that they are: Based on covenants as contrasted with contracts; predicated on trust; recognize the interaction of multiple health systems operating simultaneously in health seeking behaviour; intentionally pro-poor; transparent and accountable; driven by local needs and concerns not global agendas. Recent efforts to strengthen health systems derive from a neoclassical market model of health care that ignores, at best, or disparages, most often, the role that religious health assets play in the lives of both providers and consumers of health care. On this basis, this contri- bution will describe the approach to health systems strengthening taken by the African Religious Health Assets Programme
Religion and Theology – Brill
Published: Jan 1, 2007
Keywords: transparent; contracts; covenants; systems; public health
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