3. Contracting
of primary health care services in Pakistan: Is up-scaling a pragmatic
thinking?
Babar Tasneem Shaikh, Fauziah
Rabbani, Najibullah Safi, Zia Dawar
Abstract
Quite often, public health care
systems in developing countries are struggling because of incompetence and a
lack of provider responsiveness to the needs of consumers. On the contrary, the
private sector dominates the system of health provision. In recent years,
contracting has been experimented as an approach to ensure delivery of comprehensive
public health services in an efficient, effective, superior and fair manner and
has generally thrived well. The state's healthcare system in Pakistan has
suffered a lot, owing to structural fragmentation, resource scarcity, inefficiency
and lack of functional specificity, gender insensitivity and inaccessibility.
However, partnering with the private sector has shown some exceptional accomplishments.
Though challenging but structural reforms, involving private health sector have
become indispensable. The overall experience shows that up-scaling of such
initiatives in the country would require lot of cautions to be taken by the
government.
J Pak Med Assoc, Vol. 60, No. 5, May 2010
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