Beyond the façade
Instrumentalisation of the Zambian health sector
Melle
Leenstra
Leiden: African Studies Centre, African studies
collection 39, 2012.
This dissertation is a response to an academic and popular discussion that
painted a bleak picture of the African state and by extension the endeavour
of development cooperation. It focuses on the Zambian health sector and the
people who create it through their words and deeds. For health workers and
their families the sector appears to be an avenue for upward mobility. For
politicians it is a platform to further their political careers, while
providing access to the resources needed to expand the presence of the state
and ensure regime survival. The formal goals of providing quality health
care to ordinary citizens appear to be of secondary importance. This insight
into the Zambian health sector presents an African state as a dynamic human
system undergoing its own historical development. It is different from what
policy makers had promised or planned, or how other countries have evolved,
but it is not necessarily a story of state failure or collapse.
Melle Leenstra obtained his masters degree in rural development at
Wageningen University. He undertook his PhD research at the African Studies
Centre, Leiden, while working in development and governance at the
Netherlands Ministry of Foreign Affairs.
On Wednesday 14 March 2012, Melle Leenstra succesfully defended his PhD at
Leiden University.
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