Bridging the Gap Between
Religious and Secular Health
Systems
by Charles R Ausherman, PhD
Executive Director, Institute for
Development Training
Email: idt@nuteknet.com
Health administrators and decision makers who do not belong
to a faith community are often ill at ease with the language culture of
various faiths. On the other hand, religious health workers regard government
health efforts with stereotypic images. They are dismayed by what appears
to be inefficient, needless bureaucracy. It is no wonder that there is
often a wide gulf between religious-based health programs and their government
or secular counterparts.
During assignments in more than fifty developing countries,
I have encountered too few examples of mutual cooperation and appreciation
between these two sectors. The situation seems to be made worse by Western
administrators, consultants, and decision makers who ignore, blissfully
or willfully, the potential of the religious health sector.
Many of the best hospitals
and health
programs in the developed
world were
started by the faith community.
Health, healing and ministry to the sick and dying have
been intrinsic concerns of people of faith throughout history. Religious
organizations have played, and continue to play, major roles in the founding
of hospitals and health education initiatives in almost all developing
countries. Many of the best hospitals and health programs in the developed
world were started by the faith community. In the Christian tradition,
followers have been working to alleviate suffering throughout the world
by establishing health delivery organizations wherever the faithful live.
Other faiths have made similar efforts through the work of groups like
Aga Khan. In fact, until the modern age of scientific discovery, churches,
mosques, monasteries, and ashrams were the primary healing centers -- ministering
to both body and soul.
Religious Health Networks (RHNs) are usually the second
largest health network in most countries, with governmental services being
first. RHNs have been pioneers of advocacy for health care development,
and serve as natural conduits for information. They are the logical candidates,
therefore, for partnering with private and government initiatives to best
utilize available technologies and human resources to improve health conditions.
A first step in the partnering process is to identify,
catalog and disseminate information about established RHNs. The last such
survey was done in 1963. Updated information is sorely needed to document
the experience and range of RHNs. This inventory could also identify country-specific
strengths and needs of RHNs, going beyond the general characteristics of
RHNs as shown in the table below:
|
Characteristics of Religious
Health Networks
|
|
Strengths of RHNs
|
Needs of RHNs
|
-
high level of motivation and dedication
|
-
access to nondenominational funding
|
-
ability to effectively reach the community
|
-
access to information channels
|
-
efficiency at the local level
|
|
-
numerous, established networks
|
-
coordination with government and international health agencies
|
During the last 18 months the Institute for Development
Training (IDT) has conducted an intensive survey of RHNs in 50 developing
countries. IDT has been in communication with RHN national headquarters
in each of these countries. Specific data arriving from these sources indicate
that RHNs have grown considerably, in number and in membership, since the
1963 survey.
In addition, IDT has surveyed most Western faith organizations
which support or have contact with religious health programs. We have found,
unfortunately, that many funding organizations do not easily share their
data or do not keep systematic records of health programs which they have
funded.
A systematic survey of
Religious
Health Networks has not be
conducted since 1963.
The results of these surveys are now being compiled into
a Religious Health Network Directory. The purpose of this directory
will be to provide a listing of established programmatic health care resources
in the developing world and to make this information widely available.
The directory will be duplicated on the Internet in searchable electronic
form. The RHNs will be categorized by continent, country, state, region,
and town. The directory will include cross-cultural and multi-faith organizations
dedicated to improving health conditions and providing health service.
If you have access to, or knowledge of, any general baseline
information about RHNs, please contact the Institute for Development Training.
Such information might include management issues, personnel training, communication
networks, funding, and logistical support. It could also include strategies,
policies, programs and case studies of RHNs which have been successful
in developing and improving health services
Editor's Note: You can contact
the author and IDT at:
Institute for Development Training,
212 E. Rosemary St., Chapel
Hill, NC 27514,
Telephone: (919) 967-0563
email: idt@nuteknet.com