| Titre : | Planning and change : a Cambodian public health case study. (2000) |
| Auteurs : | Peter-S HILL |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 51, n° 12, 2000) |
| Pagination : | 1711-1722 |
| Langues: | Anglais |
| Mots-clés : | Cambodge ; Asie ; Politique santé ; Homme |
| Résumé : | [BDSP. Notice produite par INIST 7ziR0x5L. Diffusion soumise à autorisation]. This paper questions the appropriateness of highly structured strategic planning approaches in situations of complexity and change, using the Cambodian German Health Project as a case study. Based on participant observation and organisational analysis in the Cambodian public health sector, the paper examines the rhetoric of values, objectives and strategies outlined in the original project documents and their assumptions and implications. and the responses to the changing political situation. It demonstrates the limitations of these planning processes in complex situations of high uncertainty, with little reliable information and a rapidly changing environment. Having highlighted the limitations of the strategic planning process in these circumstances, the paper recommends changes that shift the focus away from planning towards informed strategic management, that monitors the changing environment and is given freedom to respond to emerging risks and opportunities. The Cambodian-German Health Project was initiated in October 1995 as a bilateral health aid project between the German government and the government of the Kingdom of Cambodia, but was disrupted by the "events of 5-6 July, 1997", as the military action is officially described. (...) |
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