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Promotion & Education
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The dynamics of community and NGO partnership: primary health care experiences in rural Mali

Yodit Solomon

Women's Research Institute, Brigham Young University, yodit{at}byu.edu

Bonnie Ballif-Spanvill

Women's Research Institute, Brigham Young University

Carol Ward

Department of Sociology, Brigham Young University, Provo, Utah, USA

Addie Fuhriman

Women's Research Institute, Brigham Young University

Kacey Widdision-Jones

Women's Research Institute, Brigham Young University

Utilizing ethnographic research methods, this case study examines the experiences of an NGO-sponsored health care program in rural Mali. The findings indicate that while, in principle, the organization operates from an alternative development base, it has been unable to decentralize the decision-making process and facilitate community dialogue and participation. Numerous problems resulted, including superficial forms of local participation, lack of community ownership, non-remuneration of health workers and midwives, inadequate training, and ultimately, limited program gains. The analyses highlight the complexity and dynamic nature of health program implementation in a developing context, and suggest several factors important to project success. These include drawing on diverse local perspectives, promoting broad-based participation, and providing culturally appropriate ways to include all community members, particularly women.

Key Words: primary health care • Mali • case study • non-governmental organizations

Promotion & Education, Vol. 15, No. 4, 32-37 (2008)
DOI: 10.1177/1025382308097696
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