par Kahindo, Mbeva 
;Karemere, H.;Schirvel, Carole ;Porignon, Denis
Référence Santé publique, 26, 5, page (685-693)
Publication Publié, 2014-09
;Karemere, H.;Schirvel, Carole ;Porignon, Denis Référence Santé publique, 26, 5, page (685-693)
Publication Publié, 2014-09
Article révisé par les pairs
| Résumé : | Results: The intermediate level of the health system, lacking sufficient expertise and funding during the 1980s, was confined to inspection and control functions, answering to the central level of the Ministry of health and provincial authorities. Since the 1990s, faced with the pressing demand for support from health district teams, whose self-management had to deal with humanitarian emergencies, the need to integrate vertical programmes, and cope with the logistics of many different actors, the intermediate heath system developed methods and tools to support heath districts. This resulted in a subsidiary model of the intermediate level, the perceived efficacy of which varies according to the province over recent years. |
