Browsing by Author "Paganini Agostino"

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    The Bamako Initiative Was Not About Money
    (Uganda Martyrs University, Department of Health Sciences, 2004-04) Paganini Agostino
    The Bamako Initiative (BI) was a pragmatic strategy to implement primary health care (PHC) in the era of economic structural adjustment. Championed by UNICEF’s charismatic leader, James Grant, it sought to fill the gap created by WHO’s open-ended approach to health for all and a hard-nosed economic reform pursued by the World Bank and International Monetary Fund. Economic reforms virtually destroyed social services and safety nets. The idea of BI was to select a few critical elements of PHC for child survival, which would be funded partly through community contributions. These contributions were expected to be in addition to donor and Government expenditure. But this approach was rejected by public health experts. And in the end the initiative did not make a significant impact on the deteriorating conditions of child welfare. Therefore it was abandoned. But it sowed the seeds for communities to seek for accountability for social services.
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    The Millennium Development Goals: The Ultimate Test of Will and Determination
    (Uganda Martyrs University, Department of Health Sciences, 2004-04) Paganini Agostino
    On the eve of the 3rd millennium, stock was taken of PHC and health sector reforms. The results of a shocking failure of previously advocated goals were evident. Therefore, a new set of goals and mechanisms were adopted under Millennium Development Goals (MDGs). The MDGs are 8: on hunger, education, gender disparity, child mortality, maternal mortality, HIV/AIDS, safe drinking water and partnership. They have implications for multi-laterals as well as for national Governments. Multi-laterals are expected to implement unified and harmonized programmes. Governments are also expected to improve governance, respect the law and mobilise resources for social investment. Recent reviews do not show that much progress has been made. But perhaps it is still too early. What seems to be missing though is a powerful lobby for the implementation of MDGs.