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    Performance-based partnership Agreements for the reconstruction of the health system in Afghanistan

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    Author(s)
    Ridde, Valéry
    Editor(s)
    Eade, Deborah
    Publication date
    2005-02-01
    Subject
    Approach and methodology
    Health
    Private sector
    Keywords
    Development methods
    Health systems
    Development in Practice Journal
    DiP
    Country
    Afghanistan
    
    Metadata
    Show full item record
    Publisher(s)
    Oxfam GB
    Routledge
    Journal
    Development in Practice
    URI
    http://hdl.handle.net/10546/130689
    DOI
    10.1080/0961452052000321532
    Document type
    Journal article
    Language
    English
    Description
    The reconstruction of the health system in Afghanistan is in its early stages, and donors have proposed Performance-based Partnership Agreements (PPAs) through which to subcontract the delivery of health services to private organisations, both for-profit and not-for-profit. Beyond ideological debates, this article sets out to explain the model underlying the PPA initiative and sheds light on empirical data concerning the assumed benefits of such an approach. The article studies privatisation and the contracting-out of health services, though there is as yet no information that can demonstrate the superiority of private over public service provision. Similarly, the merits of subcontracting have not been fully proven and such arrangements raise several ethical issues. Where PPAs are to be attempted, it is important to remain cautious and to ensure that operations are organised in such a way as to permit proper comparison. The paper concludes with recommendations to organisations involved in or considering the advantages of PPAs.<p>This article is hosted by our co-publisher Taylor & Francis.</p>
    Pages
    12
    ISSN
    0961-4524
    EISSN
    1364-9213
    ae974a485f413a2113503eed53cd6c53
    10.1080/0961452052000321532
    Scopus Count
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