The long-term role of national non-government development organizations in primary health care: lessons from Banglades

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Abstract
This paper discusses the future role of national non-government development organizations (NGDOs) in health development. Taking the case of Bangladesh it is shown how some national NGDOs have developed into large professional organizations and how their position relates both to foreign donor support and the state. It is argued that the future contribution of national NGDOs to the development of primary health care (PHC) may be considerable, including strengthening of health care delivery by government staff. A division of tasks and responsibilities between state and national NGDOs must be based on complementarity. The discussion also has relevance for countries where state involvement in development and sustenance of PHC is diminishing because of economic problems.

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