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.”
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.
Strengthen local capacity to reduce dependence.
Themes
Mood
Type
When to use this quote
- disaster response
- public health planning
- NGO strategy
Key Concepts
Questions to Reflect On
- What steps can empower local health workers?
- How to balance central coordination with local autonomy?
Centralization can hinder rapid response; local autonomy may be limited.