Skip to main content
Log in

Planning and management of community financing: a review of NGO approaches in the health sector

  • Articles
  • Published:
Voluntas: International Journal of Voluntary and Nonprofit Organizations Aims and scope Submit manuscript

Abstract

In the face of severe resource shortages, community financing is increasingly being promoted as an alternative source of finance for public health providers. Non-government organisations have long-standing experience of community financing, but there is little documentation of the range of approaches. In this review, a sample of twenty NGOs was studied to explore these experiences. The range of approaches adopted by different organisations and the information available regarding success in achieving financial sustainability are described. Two preconditions for successful community financing (in this sense) are suggested by the evidence: collection of relevant background data relating to the proposed site of the community financing programme, and consultation with the community.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abel Smith, B. and Dua, A. (1988) Community financing in developing countries: the potential for the health sector,Health Policy and Planning, 3:2, 95–108.

    Google Scholar 

  • Anubhav Series (1987)Case Studies of Voluntary Health Organisations, Ford Foundation, New Delhi.

    Google Scholar 

  • Bang, A. and Bang, R. (1986) Voluntary health programmes should not try to become economically self-sufficient,World Health Forum, 7, 194–8.

    Google Scholar 

  • Berman, P. and Dave, P. (1990) Experiences in paying for health care in India's voluntary sector, in P. Dave (ed.)A Report of the National Workshop on Health Financing in the Voluntary Sector, Voluntary Health Association of India and the Ford Foundation, New Delhi.

    Google Scholar 

  • Carrin, G. (1987) Community financing of drugs in Sub-Saharan Africa,International Journal of Health Planning and Management, 2, 125–45.

    Google Scholar 

  • Dave, P. (1991) Community and self-financing in voluntary health programmes in India,Health Policy and Planning, 6:1, 20–31.

    Google Scholar 

  • Diskett, P. and Nickson, P. (1991) Financing primary health care: an NGO perspective,Development in Practice, OXFAM Journal, 1:1.

    Google Scholar 

  • Gilson, L. and Dave-Sen, P. (1993) Health provision by the non-profit private sector, Background paper prepared for the workshop onThe Public/Private Mix in Health Care, London School of Hygiene and Tropical Medicine, January.

  • Green, A. (1987) The role of non-government organisations and the private sector in the provision of health care in developing countries,International Journal of Health Planning and Management, 2, 37–58.

    Google Scholar 

  • Mburu, F.M. (1989) Non-government organisations in the health field: collaboration, integration and contrasting aims in Africa,Social Science and Medicine, 29:5, 591–7.

    Google Scholar 

  • McPake, B., Hanson, K. and Mills, A. (1992)Implementing the Bamako Initiative in Africa: A Review of Five Case Studies, Department of Public Health and Policy, Health Policy Unit, London School of Hygiene and Tropical Medicine, London.

    Google Scholar 

  • Parker, D. and Knippenberg, R. (1991)Community Cost Sharing and Participation: A Review of the Issues, Bamako Initiative Technical Report Series No 9, UNICEF, New York.

    Google Scholar 

  • Russell, S. and Reynolds, J. (1985)Operations Research Issues: Community Financing, PRICOR Monograph Series 1.

  • Stinson, W. (1982)Community Financing of Primary Health Care, American Public Health Association, Washington, DC.

    Google Scholar 

  • Streefland, P. and Chowdhury, M. (1990) The long term role of national nongovernment development organisations in primary health care: lessons from Bangladesh,Health Policy and Planning, 5:3, 261–6.

    Google Scholar 

  • UNICEF (1990)The Bamako Initiative: Reaching Health Goals Through Strengthened Service Delivery, Bamako Initiative Management Unit, UNICEF, New York.

    Google Scholar 

  • Waddington, C. (1989)Drug Sales — A Solution to the ‘Sustainability’ of PHC? Report for OXFAM, Oxford.

    Google Scholar 

  • WHO (1993)Evaluation of Recent Changes in the Financing of Health Services, Report of WHO Study Group, World Health Organisation, Geneva.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

The Health Economics and Financing Programme is supported by the Overseas Development Administration.

The authors acknowledge the helpful co-operation of the non-government organisations (NGOs) included in the study. Of course, final responsibility for the paper remains with the authors.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dave-Sen, P., McPake, B. Planning and management of community financing: a review of NGO approaches in the health sector. Voluntas 4, 345–371 (1993). https://doi.org/10.1007/BF01398153

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01398153

Keywords

Navigation