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Review
. 2006 Mar 25;332(7543):718-21.
doi: 10.1136/bmj.332.7543.718.

Contracting out health services in fragile states

Natasha Palmer  1 , Lesley Strong, Abdul Wali, Egbert Sondorp
Affiliations
Review

Contracting out health services in fragile states

Natasha Palmer et al. BMJ. .

Abstract

Non-governmental organisations are contracted to provide most of Afghanistan's health services. What can we learn from their approach and is it sustainable in the longer term?

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Figures

Figure 1
Figure 1
The challenge of outsourcing
See this image and copyright information in PMC

References

    1. Department for International Development. Why we need to work more effectively in fragile states. London: DFID, 2005.
    1. Bhushan I, Keller S, Schwartz B. Achieving the twin objectives of efficiency and equity: contracting health services in Cambodia. Manila: Asian Development Bank, 2002.
    1. Loevinsohn B, Harding A. Buying results? Contracting for health service delivery in developing countries. Lancet 2005;366: 676-81. - PubMed
    1. Barlett L, Mawji S, Whitehead S, Crouse C, Dalil S, Ionete D, Salama P. Where giving birth is a forecast of death: maternal mortality in four districts in Afghanistan, 1999-2002. Lancet 2005;365: 864-70. - PubMed
    1. Fleck F. Pre-election insecurity in Afghanistan hampers health service delivery. BMJ 2004;329: 420. - PMC - PubMed

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