 | Medical Assistance to Self-settled Refugees (Institut Tropical - Tropical Institute, Antwerp, Belgium, 1998) |
 |  | (introductory text...) |
| | Preface |
| | Introduction |
|  | 1. Guinea, Liberia & Sierra Leone |
| | Three poor countries |
| | Different histories, different economies |
| | A patchwork of ethnic groups |
| | The Forest Region of Guinea |
| | The influx of refugees between 1990 and 1995 |
| | 2. The health system in Guinea, 1988-96 |
| | (introductory text...) |
| | The Bamako Initiative at the health centres |
| | Hospitals: rationalisation, cost recovery... but low utilisation |
| | The administrative structure of the health system |
| | Human resources in the health sector |
| | Cost and funding of the health system |
| | The Guinean health care system and PARLS |
| | 3. The refugee-crisis: between self-reliance and pragmatic assistance |
| | Wave 1: rural refugees from Nimba county, January-March, 1990 |
| | (introductory text...) |
| | The Initial Assistance |
| | More Refugees |
| | Wave 2: urban refugees or returnees? May-June, 1990 |
| | (introductory text...) |
| | The same assistance ..... |
| | ... But not for everybody |
| | Wave 3: rural refugees from Loffa county, June-August, 1990 |
| | Wave 4: refugees from Sierra Leone, March-April, 1991 |
| | (introductory text...) |
| | More active interventions |
| | A period of relative tranquillity: the refugees remain and PARLS is consolidated |
| | Late arrivals: the subsequent minor waves, 1992-95 |
| | Cross-border movements in both directions |
| | Early versus late arrivals |
| | New agencies and changes in PARLS |
| | Settlement patterns of refugees |
| | The number and distribution of refugees* |
| | 'Integration' of urban refugees |
| | Rural refugees: between 'integration' and 'segregation' |
| | 'Refugees live in camps' |
| | 4. Food aid |
| | (introductory text...) |
| | A rational basis for deciding on food aid? |
| | Refugee registration |
| | Assessing the nutritional situation |
| | (introductory text...) |
| | Monitoring of market prices |
| | PMC monitoring |
| | Anthropometric surveys |
| | The limitations of anthropometric surveys |
| | Delivering food aid |
| | A major issue right from the start |
| | On counting calories (1991-95)* |
| | 1996: Better supply and less fraud |
| | Of evidence and pressure |
| | Expert opinion versus anthropometry |
| | Decision making in food aid |
| | 5. Control of epidemics |
| | (introductory text...) |
| | Epidemics: bio-demographic burden & psychological impact |
| | Control of epidemics |
| | Epidemics and forced migration |
| | (introductory text...) |
| | Why does forced migration result in excess mortality? |
| | Reducing excess mortality in forced migration |
| | Epidemics in the Forest Region |
| | (introductory text...) |
| | Bio-demographic burden of epidemics in the Forest Region |
| | Measuring control of epidemics |
| | Control of cholera, measles, meningococcal meningitis & beriberi |
| | Control measures in the forest region |
| | Costs and effects of controlling epidemics in the Forest Region |
| | (introductory text...) |
| | Cholera |
| | Measles |
| | Meningococcal meningitis |
| | 'Routine' vs. 'Intervention' |
| | Epidemics in context |
| | Deaths in 'natural' situation vs. 'Routine' & 'Intervention' |
| | Cost of 'Interventions' vs. Cost of the health system |
| | Is cost per death averted an adequate measure? |
| | Managing epidemics: balancing response to burden and fear |
| | 6. Health services for refugees: between primary health care & emergency medical assistance |
| | (introductory text...) |
| | Health services organisation in development & emergency* |
| | (introductory text...) |
| | Development, disaster & emergency |
| | Paradigms of PHC & EMA |
| | Characteristics of PHC and EMA health services |
| | Strategic aspects |
| | Between development and emergency |
| | Health services for refugees in Guinea |
| | Management: MOH & its field partners |
| | (introductory text...) |
| | Effective decentralisation or foreign substitution? |
| | N'Zérékoré, Yomou & Lola |
| | Macenta & Guéckédou |
| | Health services supplied |
| | (introductory text...) |
| | First line health services (FLHS) |
| | Referral health services |
| | Ancillary services |
| | Resources used |
| | (introductory text...) |
| | Human resources |
| | Supplies |
| | User fees vs. Free access |
| | Total cost |
| | Health care provided |
| | (introductory text...) |
| | First Line Health Services |
| | Referral services |
| | The host population benefited from PARLS |
| | Why health care utilisation by the refugees remained low |
| | Was PARLS the best solution possible? |
| | 7. Towards a more balanced refugee policy |
| | (introductory text...) |
| | From saving lives to promoting health |
| | The bio-medical approach to refugee health |
| | Refugees as a product of a disrupted society |
| | The determinants of health status & coping ability |
| | A theory of human need: health & autonomy |
| | Becoming a refugee as a way of coping |
| | The central role of settlement patterns |
| | Refugee policy as a balance between self-reliance & assistance |
| | Assistance in lieu of self-reliance |
| | Assistance in support of self-reliance |
| | References |
| | Preface & introduction |
| | Chapter 1 |
| | Chapter 2 |
| | Chapter 3 |
| | Chapter 4 |
| | Chapter 5 |
| | Chapter 6 |
| | Chapter 7 |
| | Abbreviations & Acronyms |
(introductory text...)
Guinea, 1990-96
Wim Van Damme
Studies in Health Services Organisation & Policy, 11, 1998
Studies in Health Services Organisation & Policy, 11,
1988
Series editors: W. Leberghe, G. Kegels, V. De
Brouwere
©ITGPress, Nationalestraat 155, B200 Antwerp, Belgium.
E-mail: isa@itg.be
Wim Van Damme
Medical Assistance to Self-settled
Refugees
Guinea, 1990-96
D/1998/0450/4
ISBN 90-76070-09-11-3
ISSN
1370-6462
This study was supported by a research grant from the Fund for Scientific Research, Flanders, Belgium (FWO-s 2/5-KV-E95), and from the European Union (1C19-CT96-0113).
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