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Forty years of USAID health cooperation in Bolivia. A lose-lose game?

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dc.contributor.author Tejerina, H. en_US
dc.contributor.author Closon, M. C. en_US
dc.contributor.author De Paepe, D. en_US
dc.contributor.author Darras, C. en_US
dc.contributor.author Van Dessel, P. en_US
dc.contributor.author Unger, J. P. en_US
dc.date.accessioned 2014-09-25T13:39:59Z
dc.date.available 2014-09-25T13:39:59Z
dc.date.issued 2014 en_US
dc.identifier.issn 0749-6753 en_US
dc.identifier.doi http://dx.doi.org/10.1002/hpm.2149 en_US
dc.identifier.other ITG-H1B; ITG-H3A; ITG-H4B; ITG-H5B; ITG-HLA; DPH; U-PSHC; JIF; DOI; Abstract; UPD56 en_US
dc.identifier.uri http://hdl.handle.net/10390/8028
dc.description.abstract The present article proposes an analysis of the USA-Bolivia relationships in the health sector between 1971 and 2010 based on a grey and scientific literature review and on interviews. We examined United States Agency for International Development (USAID) interventions, objectives, consistency with Bolivian needs, and impact on health system integration. USAID operational objectives-decentralization, fertility and disease control, and maternal and child health-may have worked against each other while competing for limited Ministry of Health resources. They largely contributed to the segmentation and fragmentation of the Bolivian health system. US cooperation in health did not significantly improve health status while the USAID failed to properly tackle anti-drugs, political, and economic US interests in Bolivia. Copyright (c) 2012 John Wiley and Sons, Ltd. en_US
dc.language English en_US
dc.subject Health systems en_US
dc.subject Health policy en_US
dc.subject National health en_US
dc.subject Health sector reform en_US
dc.subject Evaluation en_US
dc.subject Efficacy en_US
dc.subject Collaboration en_US
dc.subject Interventions en_US
dc.subject NGOs en_US
dc.subject Integrated health care en_US
dc.subject Strengthening en_US
dc.subject Health impact en_US
dc.subject Review of the literature en_US
dc.subject USA en_US
dc.subject America, North en_US
dc.subject Bolivia en_US
dc.subject America, Latin en_US
dc.title Forty years of USAID health cooperation in Bolivia. A lose-lose game? en_US
dc.type Article en_US
dc.citation.issue 1 en_US
dc.citation.jtitle International Journal of Health Planning and Management en_US
dc.citation.volume 29 en_US
dc.citation.pages 90-107 en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/23165371 en_US
dc.citation.jabbreviation Int J Health Plann Manage en_US


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