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Health Policy and Planning; 16(90001): 19-23
© Oxford University Press 2001

Health providers’ opinions on provider–client relations: results of a multi-country study to test Health Workers for Change

S Fonn1, AS Mtonga2, HC Nkoloma3, G Bantebya Kyomuhendo3, L Dasilva4, E Kazilimani4, S Davis5 and R Dia5

1 Women’s Health Project, Department of Community Health, University of the Witwatersrand, Johannesburg, South Africa,
2 Ministry of Health, Lusaka, Zambia,
3 Department of Women’s Studies, Makerere University, Kampala, Uganda,
4 Save the Children Federation (US), Gaza Province, Mozambique and
5 TOSTAN, Senegal

A multi-centre study in four African countries was undertaken to test the acceptability and effectiveness of Health Workers for Change, a methodology to explore provider–client relations within a gender-sensitive context. This intervention addresses the interpersonal component of quality of care. The methodology, consisting of six workshops, was implemented by research teams in Zambia, Senegal, Mozambique and Uganda. It was found to be acceptable within in a range of cultural and primary health care settings. The workshops allowed difficult issues such as prejudice and bribery to be discussed openly, fostered problem solving and the development of practical plans to address problems that could strengthen district health systems.


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