Public-private partnerships (PPP) as an idea are not new to the developed and developing the world and have been one of the main forms of reforms in many sectors – including the health sector – in lower and middle-income countries. Given the lack of revenue in the government to invest in health services, these partnerships with the private sector are viewed as a way out, providing a source of greater investments and filling gaps in the delivery of clinical and/or non-clinical services. These partnerships – seen to be improving the ‘efficiency and effectiveness’ of the health services – have to be viewed as a continuation of the process of commercialisation of the health sector. The rationale and logic for these partnerships are informed by the principles of the new public management approach that formed the basis of the health sector initiatives of the 1990s.
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