Emmanuel K. Ngwainmbi, Ed. 2014. Healthcare Management Strategy, Communication and Development Challenges and Solutions in Developing Countries. Lanham, MD: Lexington Books. $90.00. pp. 256. Hardback. ISBN‐10: 0739185667 .

AuthorCassandra M. Sweet
Published date01 March 2015
Date01 March 2015
Book Review
Emmanuel K. Ngwainmbi, Ed 2014. Healthcare Management Strategy, Communica-
tion and Development Challenges and Solutions in Developing Countries. Lanham, MD:
Lexington Books. $90.00. pp. 256. Hardback. ISBN-10: 0739185667
The symptoms start within two weeks of infection: fever, sore throat, muscle
pain. By the time the patient is experiencing the more pronounced features of
the disease—vomiting, diarrhea, and bleeding within the body and externally—
the mortality rate may reach 90 percent. Thus progresses Ebola, which as of mid-
2014 was reaping social, political, and economic havoc across Western Africa.
As international health organizations, such as Doctors Without Borders, declared
they had reached their full capacity and could no longer send teams to new outbreak
sites, the disconnect between the coordination of a global response and local health
policymakers stood in stark relief. A wave of f‌inger pointing commenced.
The Lancet called the WHO’s response late and inadequate. WHO off‌icials
described a lack of receptivity from local religious, political, and cultural leaders.
The slashing of the WHO’s annual budget for crisis response (from $469 million
in 2012–2013 to $229 million in 2013–2014) stood out as an ironic joke on lessons
in imprudent global public health resource management and an experiment in
tragic lunacy. Across thousands of villages, basic resources like gloves, bleach,
and plastic wrap for mounting corpses were in short supply. What started as an
isolated outbreak affecting poor and rural Africans grew to an epidemic with
potential global implications.
Emmanuel K. Ngwainmbi’s collection of essays on health-care management
in developing countries would have been appropriate reading for all involved.
Comprising 11 essays, this timely book offers a review of emerging studies on
health communication and delivery, providing for academics and policymakers
insights from local researchers working on the front lines. Most importantly, it
offers evidence of the critical role communication with local communities plays in
effective health policy.
The book’s range spans theory and design, health and communication policies,
experiences, implementation, and education. It illustrates the Gordian knot of
coordinating, communicating, and delivering health care in fragile institutional
World Medical & Health Policy, Vol. 7, No. 1, 2015
1948-4682 #2015 Policy Studies Organization
Published by Wiley Periodicals, Inc., 350 Main Street, Malden, MA 02148, USA, and 9600 Garsington Road, Oxford, OX42 DQ.

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