Utilizing ethnographic research methods, this case study examines the experiences of an NGO-sponsored health care program in rural Mali. The findings indicate that while, in principle, the organization operates from an alternative development base, it has been unable to decentralize the decision-making process and facilitate community dialogue and participation. Numerous problems resulted, including superficial forms of local participation, lack of community ownership, non-remuneration of health workers and midwives, inadequate training, and ultimately, limited program gains. The analyses highlight the complexity and dynamic nature of health program implementation in a developing context, and suggest several factors important to project success. These include drawing on diverse local perspectives, promoting broad-based participation, and providing culturally appropriate ways to include all community members, particularly women.
This paper examines the effectiveness of an NGO-sponsored literacy program in rural Mali. The study employs ethnographic techniques to examine the type of literacy instruction provided, the level of participation, the meanings of literacy to participants, and the contextual factors that influence the social and personal effects of literacy. The analyses reveal that the program has been more advantageous for men, particularly in terms of opportunities for the use of literacy skills. Oversight of the cultural context combined with programmatic challenges including failure of the NGO to meet its own critical literacy goals have limited women's ability to access and derive benefits from the literacy program.
This paper presents a case study of a rural credit program sponsored by the Ouelessebougou-Utah Alliance (OUA) in Mali, West Africa. Ethnographic methods are employed to determine the outreach, impact, and sustainability of the program. Findings indicate that program specifications increasingly limit participation to an established and primarily male clientele. Both male and female borrowers reported higher earnings and greater contribution to household expenses; however, access to credit for women is not associated with improved status. The prospect for administrative and financial sustainability of the program is undermined by a weak and ineffective educational component.
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