Models of engagement between the state and the faith sector in sub-Saharan Africa – a systematic review

Whyle, Eleanor; Olivier, Jill

doi:10.1080/09614524.2017.1327030

Cited by 18 publications

(23 citation statements)

References 27 publications

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“… 35–38 Similarly there is a need for more information to understand if and under what conditions these organisations contribute to positive health outcomes. 5 However, the trusting relationships that FBOs as well as religious leaders and institutions often hold in the communities in which they are embedded in and operate have been highlighted as an important feature and possible mechanism to ensure effective and meaningful service delivery. 9 13 15 The logistic mixed effects model showed a significant negative association (−0.87 (95% CI: -1.43, 0.26)) between dropout and caregiver trust in religious leaders and institutions, confirming that this type of trust was a determinant of retention among participants attending the MCO programme administered by ICM in partnership with local religious leaders.…”

Section: Discussionmentioning

confidence: 99%

Exploring trust in religious leaders and institutions as a mechanism for improving retention in child malnutrition interventions in the Philippines: a retrospective cohort study

Lau

Dodd

Qu³

et al. 2020

BMJ Open

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ObjectivesIn the context of persistent child malnutrition in the Philippines, the objective of this study was to examine how different dimensions of trust affected programme retention and physiological outcomes when a faith-based organisation (FBO) addressed moderate and severe acute malnutrition among children from households experiencing extreme poverty.SettingWe retrospectively analysed survey data collected by International Care Ministries (ICM) in 2012–2013 across 150 communities in eight provinces (Negros Oriental, Negros Occidental, Bohol, Palawan, Sarangani, South Cotabato, Sultan Kudarat and Zamboanga del Norte) of the Philippines.Study participantsCaregivers of 1192 children experiencing moderate acute malnutrition and severe acute malnutrition between the ages of 6 and 60 months.InterventionA 16-week child malnutrition treatment programme called Malnourished Child Outreach offered by ICM in partnership with local religious leaders and institutions.Primary and secondary outcome measuresProgramme dropout and weight-for-height z-score (WHZ) at the end of the programme for enrolled children were the two outcomes of interest. A logistic mixed-effects model was built to assess factors associated with programme dropout and a linear mixed-effects model for factors associated with WHZ at the end of the programme.ResultsTrust in religious leaders or institutions (−0.87 (95% CI: −1.43,–0.26)) was negatively associated with programme dropout, suggesting that with increasing levels of trust, decreasing proportions of children dropped out of treatment. Retention in the programme led to improved WHZ among participating children (−0.38 (95% CI: −1.43, 0.26)). Various measures of social capital, including trust in religious and public institutions, were not associated with WHZ at the end of the programme.ConclusionsLeveraging pre-existing trust in religious leaders and institutions among households experiencing extreme poverty is one way that ICM, and potentially other FBOs, can promote retention in child nutrition interventions among vulnerable populations.

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Section: Discussionmentioning

confidence: 99%

Exploring trust in religious leaders and institutions as a mechanism for improving retention in child malnutrition interventions in the Philippines: a retrospective cohort study

Lau

Dodd

Qu³

et al. 2020

BMJ Open

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“…While there are a few published reviews on health assets, they have specifically focused on health assets in older people,31 32 faith-based health assets33 or concept analyses of the idea 34. Our review aimed to provide a broader understanding of how the approach had been discussed and used in a global context.…”

Section: Introductionmentioning

confidence: 99%

Health assets in a global context: a systematic review of the literature

et al. 2019

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ObjectiveTo provide an up-to-date overview of health assets in a global context both from a theoretical perspective and its practical applications to address health inequalities and achieve sustainable health.DesignA systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Data sourcesA comprehensive search, including 10 electronic bibliographic databases and hand searches, was undertaken to capture the wide range of terms associated with ‘health assets’ and ‘asset-based approaches to health’.Eligibility criteriaAny peer-reviewed published and grey literature in English related to ‘health assets’ or ‘assets’ in a ‘health’ context was included without any date, country or study design restrictions and the quality of evidence was appraised according to the Oxford Level of Evidence.OutcomesA broad consideration of all outcome measures including clinical outcomes, patient-level, community-level and population-level impacts and costs, was adopted.Results478 publications were included. Health assets were researched in 40 countries, predominantly in the West such as the USA and the UK. A number of broad health assets were identified including community and individual assets. Even though research was conducted in a number of different settings, most occurred in the community, clinical, care or educational settings. A wide variety of interventions and approaches were implemented, most commonly related to education and/or training, asset mapping or asset approaches.ConclusionsGlobally, authors most often referred to general ‘health assets’, ‘assets’ or some form of ‘community asset’ in relation to health. Overall, the idea of health assets is framed within a positive paradigm focusing on health creation rather than curative approaches. The sustained credibility of the global ‘health assets’ literature depends on future research on definitional, theoretical and evaluative issues in order to convince policy-makers and service commissioners of its necessity and added value to the traditional deficit approach.

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“…The role of faith-based health providerswhere health professions practical training takes placein health systems has been well documented in the literature, and has long been the subject of donor and international organisation gaze (Grieve & Olivier, 2018;Olivier, 2011;Olivier et al, 2015;Olivier & Wodon, 2012;Schmid et al, 2008;Whyle & Olivier, 2017). This provision has a deep history to it, pre-dating in some cases the creation of the state itself (Jennings, 2015).…”

Section: Faith-based Medical Training and Health Professions Educationmentioning

confidence: 99%

“…Faith-based health providers play an important role in many health systems in sub-Saharan Africa, although there remain significant gaps in detailed mapping of their national and regional extent (Olivier et al, 2015). While the level of faith-based providers' integration into the health system varies from country to country, in many contexts they are officially integrated into the health system through contractual agreements or understandings (Boulenger & Criel, 2012;Whyle & Olivier, 2017). There is a broad range of literature on the role of faith-based actors within national health systems, especially over questions of access, equity and whether faith institutions can offer the broadest range of key services, some of which might compromise taught faith values (Kagawa et al, 2012;Morgan et al, 2013;Olivier et al, 2015;Tomalin, 2011;Tomkins et al, 2015).…”

Section: Faith-based Medical Training and Health Professions Educationmentioning

confidence: 99%

The role of faith-based health professions schools in Cameroon’s health system

Wees

Sop

Betsi³

et al. 2020

Global Public Health

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Faith-based health professions schools contribute to the training of staff in many Sub-Saharan African countries. Yet little is known about these actors, their role in the health system, potential comparative advantages and challenges faced. This is a qualitative study drawing on 24 qualitative interviews and 3 focus group discussions. Participants included faith-based health professions schools, staff at faith-based health professions schools, Ministry of Health officials and donors. Thematic analysis was used to analyse the data. The findings reveal that understanding of faith-based health professions schools held by donors and the Ministry of Health rest on a set of assumptions rather than evidence-backed knowledge and that knowledge on key aspects is missing (not least on the market share of such actors). This suggests that collaboration with and oversight of these non-state schools is limited, raising questions about the balance of state regulation and control in the public-private mix for training health workers. Linked to this weak oversight, the findings also raise concerns over a number of problematic activities at these schools, unaccredited training programmes and the presence of missionary volunteers whose presence and actions are rarely interrogated.

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Models of engagement between the state and the faith sector in sub-Saharan Africa – a systematic review

Cited by 18 publications

References 27 publications

Exploring trust in religious leaders and institutions as a mechanism for improving retention in child malnutrition interventions in the Philippines: a retrospective cohort study

Exploring trust in religious leaders and institutions as a mechanism for improving retention in child malnutrition interventions in the Philippines: a retrospective cohort study

Health assets in a global context: a systematic review of the literature

The role of faith-based health professions schools in Cameroon’s health system

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