Too good to be true? An assessment of health system progress in Afghanistan, 2002-2012

Michael, Markus, Pavignani, Enrico and Hill, Peter S. (2013) Too good to be true? An assessment of health system progress in Afghanistan, 2002-2012. Medicine, Conflict and Survival, 29 4: 322-345. doi:10.1080/13623699.2013.840819

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Author Michael, Markus
Pavignani, Enrico
Hill, Peter S.
Title Too good to be true? An assessment of health system progress in Afghanistan, 2002-2012
Journal name Medicine, Conflict and Survival   Check publisher's open access policy
ISSN 1362-3699
Publication date 2013-10-17
Year available 2013
Sub-type Article (original research)
DOI 10.1080/13623699.2013.840819
Volume 29
Issue 4
Start page 322
End page 345
Total pages 24
Place of publication Abingdon, Oxon, United Kingdom
Publisher Routledge
Language eng
Formatted abstract
The bold decision was taken in Afghanistan in 2002 to provide donor-funded public health services by means of contracting-out of predefined health care packages. This study seeks to identify the extent to which progress has been made in public health services provision in the context of broader state-building agendas. The article argues that the provision of public health services was also intended to generate a peace dividend and to legitimize the newly established government. The widely portrayed success of the contracting model is backed up by very high official figures for health service coverage. This contrasts with evidence at household level, which suggests limited utilization of public health services, and perceptions that these offer inferior quality, and a preference for private providers. The dissonance between these findings is striking and confirms that public health care cannot remain immune from powerful market forces, nor from contextual determinants outside the health field.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 17 Oct 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
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Citation counts: Scopus Citation Count Cited 16 times in Scopus Article | Citations
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Created: Tue, 12 Nov 2013, 19:15:11 EST by Associate Professor Peter Hill on behalf of School of Public Health