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Volume 102, Issue 2, Pages 198-202 (August 2008)


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Do mission hospitals have a role in achieving Millennium Development Goal 5?

Zafarullah GillaCorresponding Author Informationemail address, Martha Carloughb

published online 12 May 2008.

Abstract 

Introduction

It is unlikely that some low-income countries will achieve Millennium Development Goal 5 (MDG5) unless governments find new approaches. One possibility is through government partnerships with mission hospitals and other faith-based organizations (FBOs), but this would require overcoming historic reservations.

Methods

We review the limited literature on mission hospitals and other FBO health services providing maternity care.

Conclusion

The management and the clinical care provided by FBOs are often of higher quality than that provided by government hospitals. Mission hospitals have several advantages including more resources (especially foreign exchange), greater access to expatriate staff especially for training, and more flexibility in hiring and managing staff and in procuring and managing medicines and supplies.

Recommendation

Increased collaboration between governments and mission hospitals, particularly in underserved and rural areas, could improve availability and quality of obstetric services enough to meet MDG5 targets. Delegating responsibilities to mission hospitals, exchanging information, and collaboration in projects and training could accelerate progress toward MDG5. Bilateral and multilateral funding institutions and International NGOs should encourage more effective partnerships between governments and FBOs.

a Formerly with Columbia University, Mailman School of Public Health, New York, USA

b Department of Family Medicine, University of North Carolina/Chapel Hill, and IntraHealth International, Inc, USA

Corresponding Author InformationCorresponding author.

PII: S0020-7292(08)00156-2

doi:10.1016/j.ijgo.2008.04.003


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