Community case study: overcoming barriers to social participation for improved local health governance in Madagascar
Dörte Petit, Dheepa Rajan, Kira Koch, Charlotte Poulussen, Jean de Dieu Marie Rakotomanga, Marc Rajaonarison, Csongor Bajnóczki, Sarah Brousse, Hyppolite Kalambay, Saina Isiraely Rambinintsoanomenjanahary, Katja Rohrer-Herold · 2026
Read Community case study: overcoming barriers to social participation for improved local health governance in Madagascar by Dörte Petit, Dheepa Rajan, Kira Koch, Charlotte Poulussen, Jean de Dieu Marie Rakotomanga, Marc Rajaonarison, Csongor Bajnóczki, Sarah Brousse, Hyppolite Kalambay, Saina Isiraely Rambinintsoanomenjanahary, Katja Rohrer-Herold (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13593836.txt.
Description
Health policy in Madagascar often asks communities for input, yet the powerful still talk over the rest. Dörte Petit and co-authors studied in 2026 how to level that conversation, interviewing thirty-seven informants across Madagascar's health system in one urban and one rural district, alongside rapid literature reviews. Three simple strategies stood out.
Speak the language people actually use. Split dialogue into small, like groups where quieter voices are not drowned. And hold consultations in people's own places, not official halls. None of this is new, the authors note, but it is rarely done. Their evidence argues these habits could make participation real rather than decorative.
Catalog record
| CREATOR | Dörte Petit, Dheepa Rajan, Kira Koch, Charlotte Poulussen, Jean de Dieu Marie Rakotomanga, Marc Rajaonarison, Csongor Bajnóczki, Sarah Brousse, Hyppolite Kalambay, Saina Isiraely Rambinintsoanomenjanahary, Katja Rohrer-Herold |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 47 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |