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Decentralization Quote by Paul Farmer

“Haiti is always talking about decentralization and nothing has been so obvious, perhaps a weakness, as the centralized nature of Haitian society as being revealed by the earthquake. I mean, they lost all these medical training programs because they didn't have them anywhere else.” quote by Paul Farmer
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“Haiti is always talking about decentralization and nothing has been so obvious, perhaps a weakness, as the centralized nature of Haitian society as being revealed by the earthquake. I mean, they lost all these medical training programs because they didn't have them anywhere else.”

Paul Farmer

About This Quote

Source Interview: Global Health Perspectives, 2010

Haiti’s centralized structures become evident after crises, exposing reliance on limited local expertise.

In simple terms: Centralization in Haiti shows vulnerability after disasters.

Key Takeaway

Strengthen local capacity to reduce dependence.

Themes

health policy resilience

Mood

reflective concerned

Type

policy analytical

When to use this quote

  • disaster response
  • public health planning
  • NGO strategy

Key Concepts

centralization vulnerability capacity building

Questions to Reflect On

  • What steps can empower local health workers?
  • How to balance central coordination with local autonomy?
A Different Perspective

Centralization can hinder rapid response; local autonomy may be limited.

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