The Guardian: In global health care, quality and access are what matters — not who delivers it
Joanna Buckley and Serufusa Sekidde, development economists at Oxford Policy Management

“…Given their vulnerability, fragile and conflict-affected states simply do not have access to the large amounts of state expenditure needed to provide widespread coverage of basic [health] services. … In critically vulnerable environments, it is clearly important that we work with what is already in place to support the delivery of basic services. Private sector facilities spring up to plug the gap left behind by weak public institutions and a lack of capacity and funding. Their continued existence is testament to the demand for them. While this might not be to everyone’s ideological taste, it is sometimes the reality on the ground. In fragile and conflict-affected states, it is often the only reality…” (7/6).

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