Circumventing ‘free care’ and ‘shouting louder’: using a health systems approach to study eye health system sustainability in government and mission facilities of north-west Tanzania

摘要

BackgroundLittle is known about the contributions of faith-based organisations (FBOs) to health systems in Africa. In the specialist area of eye health, international and domestic Christian FBOs have been important contributors as service providers and donors, but they are also commonly critiqued as having developed eye health systems parallel to government structures which are unsustainable.