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A Tale of Two Countries: Contracting for Health Services in Afghanistan and the Democratic Republic of Congo (DRC)

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Feature Story
Michael H.C. McDowell
February 2010

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War-torn, devastated Afghanistan, ravaged by the Soviets, damaged by the Mujahadeen, divided by the Taliban, still riven by strife. And yet, a success in health delivery.
 
The vast Democratic Republic of Congo (DRC), scourged by a cruel civil war, genocide, disease, but with a surviving health infrastructure and a surplus of health workers. And yet a much tougher challenge in health delivery, initially.
 
Why did contracting delivery of health services to the non-profit sector work well in one country—but sluggishly in the other?
 
Five health professionals give their opinions, with lessons for other states hit by conflict and poverty. Those lessons show that focusing above all on results, not process, is key to success.


           

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