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close this bookMedical Assistance to Self-settled Refugees (Institut Tropical - Tropical Institute, Antwerp, Belgium, 1998)
close this folder2. The health system in Guinea, 1988-96
View the document(introductory text...)
View the documentThe Bamako Initiative at the health centres
View the documentHospitals: rationalisation, cost recovery... but low utilisation
View the documentThe administrative structure of the health system
View the documentHuman resources in the health sector
View the documentCost and funding of the health system
View the documentThe Guinean health care system and PARLS

The Guinean health care system and PARLS

In early 1990, when the first refugees began to arrive in the Forest Region, the Guinean health system was in its early stages of a nation-wide transition and expansion. PEV/SSP/ME had trained and equipped the DMOs, and prepared many health staff to work in health centres, but geographical coverage with health centres was still poor. In each prefecture, a foreign field partner was established and assisting MOH. Decentralised drug supply was functioning and cost-recovery systems were elaborated.

This state of affairs allowed for the Programme d'Assistance aux Réfugiés Libériens et Sierra-Léonais (PARLS) to be developed as an extension of, and an annex to, the national Guinean health system. PARLS initially largely 'piggybacked' on the logistics, the managerial capacities and the manpower of the Guinean health care system. But PARLS also brought considerable resources that helped to consolidate and rapidly expand the network of health facilities in the Forest Region (Chapter 6).