01630nas a2200289 4500000000100000008004100001260001300042653002800055653001200083653001100095653003300106653001200139653001800151653001900169653001800188653001800206653003100224100001100255700001300266245011000279856005100389300001000440490000700450050003200457520083700489022001401326 2002 d c2002 Jun10aDelivery of Health Care10aGermany10aHumans10aInterinstitutional Relations10aleprosy10aOrganizations10aPrivate Sector10aPublic Sector10aSouth America10aSurveys and Questionnaires1 aKalk A1 aKönig J00aNGO and state: co-operation between a leprosy relief association and other institutions in South America. uhttps://leprosyreview.org/article/73/2/16-0166 a160-60 v73 aInfolep Library - available3 a

In a structured questionnaire format, the German Leprosy Relief Association (GLRA) interviewed its representatives in two Federal states of Brazil and four other Latin American countries about the distribution, between itself, the state and other institutions of a) responsibility for funding and b) implementation of activities, in relation to leprosy control. Wherever the political commitment was given, GLRA's role could be reduced to the highly effective support of the government structure in well-defined areas, most particularly in staff training, health education and eventually in programme supervision. This public-private partnership under the umbrella of the host government sustains a small, but important specialized leprosy component whilst routine services are well integrated into the general health system.

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