IDEAS home Printed from https://ideas.repec.org/a/wly/jintdv/v22y2010i4p424-440.html
   My bibliography  Save this article

Public sector institutions, politics and outsourcing: Reforming the provision of primary healthcare in Punjab, Pakistan

Author

Listed:
  • Iram A. Khan

    (Office of the Auditor General of Pakistan, Islamabad, Pakistan)

Abstract

Lodhran|Rahim Yar Khan (RYK) model of primary healthcare is a home-grown experiment in Pakistan. The model envisaged transferring the management of primary healthcare facilities to a public sector NGO. The paper finds that through the re-alignment of interest groups, the model was replicated in several other districts of the province. It also examines the evolution of stakeholders' behaviour, interest, position and influence in its implementation over a period of time. The study concludes that sustainability of the model remains doubtful unless public sector health bureaucracy is restructured and made to work effectively. Copyright © 2009 John Wiley & Sons, Ltd.

Suggested Citation

  • Iram A. Khan, 2010. "Public sector institutions, politics and outsourcing: Reforming the provision of primary healthcare in Punjab, Pakistan," Journal of International Development, John Wiley & Sons, Ltd., vol. 22(4), pages 424-440.
  • Handle: RePEc:wly:jintdv:v:22:y:2010:i:4:p:424-440
    DOI: 10.1002/jid.1574
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1002/jid.1574
    File Function: Link to full text; subscription required
    Download Restriction: no

    References listed on IDEAS

    as
    1. de Beyer, Joy A. & Preker, Alexander S. & Feachem, Richard G. A., 2000. "The role of the World Bank in international health: renewed commitment and partnership," Social Science & Medicine, Elsevier, vol. 50(2), pages 169-176, January.
    2. Pfeiffer, James, 2003. "International NGOs and primary health care in Mozambique: the need for a new model of collaboration," Social Science & Medicine, Elsevier, vol. 56(4), pages 725-738, February.
    3. Nina Gera, 2003. "Pakistan’s Health Care Under Structural Adjustment," Lahore Journal of Economics, Department of Economics, The Lahore School of Economics, vol. 8(2), pages 65-81, Jul-Dec.
    4. repec:mes:jeciss:v:30:y:1996:i:4:p:1212-1216 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jintdv:v:22:y:2010:i:4:p:424-440. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Wiley-Blackwell Digital Licensing) or (Christopher F. Baum). General contact details of provider: http://www3.interscience.wiley.com/journal/5102/home .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.