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

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Tejerina Silva, Herland [UCL] Closon, Marie-Christine [UCL] Paepe, Pierre De Darras, Christian Dessel, Patrick Van Unger, Jean-Pierre

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 © 2012 John Wiley & Sons, Ltd.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2012
Language Anglais
Journal information "International Journal of Health Planning and Management" - (2012)
Peer reviewed yes
Publisher JohnWiley & Sons Ltd. ((United Kingdom) Bognor Regis)
issn 0749-6753
e-issn 1099-1751
Publication status Publié
Affiliation UCL - SSS/IRSS - Institut de recherche santé et société
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Bibliographic reference Tejerina Silva, Herland ; Closon, Marie-Christine ; Paepe, Pierre De ; Darras, Christian ; Dessel, Patrick Van ; et. al. Forty years of USAID health cooperation in Bolivia. A lose-lose game?. In: International Journal of Health Planning and Management, (2012)
Permanent URL http://hdl.handle.net/2078.1/132484