Exploring public private partnerships in health and education: a
                        critique

Gideon, Jasmine; Unterhalter, Elaine

doi:10.1080/21699763.2017.1330699

Cited by 22 publications

(16 citation statements)

References 24 publications

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“…Indeed, mass market failures in health in the pandemic have, as yet, neither generated any significant shift in the multilateral governance of health and health systems, nor a retreat from private health and the partnership model that has largely defined and framed engagement with and promotion of private health in the last two decades (Pauly et al 2006 ). Today it seems that neoliberal policies and practices are too deeply embedded in the key multilateral institutions that arbitrate global health policy for them respond to the pandemic crisis of private health by changing course; instead these institutions appear to be doubling down on neoliberal commitments (Youde 2016 ; Gideon and Unterhalter 2017 ; Baxter and Casady 2020 ).…”

Section: Multilateral Governance Of Private Health: Understanding Govmentioning

confidence: 99%

COVID-19 and Private Health: Market and Governance Failure

Williams

2020

Development

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The COVID-19 pandemic has produced mass market failure in global private health, particularly in tertiary care. Low-and-middle income countries (LMICs) dependent on private providers as a consequence of neglect of national health systems or imposed conditionalities under neoliberal governance were particularly effected. When beds were most needed for the treatment of acute COVID-19 cases, private providers suffered a liquidity crisis, itself propelled by the primary effects of lockdowns, government regulations and patient deferrals, and the secondary economic impacts of the pandemic. This led to a private sector response—involving, variously, hospital closures, furloughing of staff, refusals of treatment, and attempts to profit by gouging patients. A crisis in state and government relations has multiplied across LMICs. Amid widespread national governance failures—either crisis bound or historic—with regards to poorly resourced public health services and burgeoning private health—governments have responded with increasing legal and financial interventions into national health markets. In contrast, multilateral governance has been path dependent with regard to ongoing commitments to privately provided health. Indeed, the global financial institutions appear to be using the COVID crisis as a means to recommit to the roll out of markets in global health, this involving the further scaling back of the state.

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Section: Multilateral Governance Of Private Health: Understanding Govmentioning

confidence: 99%

COVID-19 and Private Health: Market and Governance Failure

Williams

2020

Development

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“…Similar concerns have been raised regarding the propagation of performance-based financing models more broadly, and in particular their promotion by international agencies and consultancies in spite of their paucity of rigorous supporting evidence (Gautier et al, 2019;Paul et al, 2018). Self-titled 'public-private partnership' models for service delivery too have attracted critique: previous research has highlighted limited supporting evidence for these models in health and education (Languille, 2017) and the use of 'partnership' to obfuscate ideologically driven expansion of private activity in social sectors (Hunter, 2018a;Standing, 2010;Verger, 2012), and commentators have called for further examination of the effects of these models on equity of health outcomes (Gideon and Unterhalter, 2017). The use of development aid to promote expansion of market-based models in this fashion contravenes basic principles of aid effectiveness and signifies the extent to which neoliberal theory occupies a 'common sense' logic in leading international agencies (Mackintosh and Koivusalo, 2005).…”

Section: Discussionmentioning

confidence: 99%

Neoliberalisation enacted through development aid: the case of health vouchers in India

Hunter

Bisht

Murray

2020

Critical Public Health

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Despite a history of critical scholarship on development aid and neoliberalism in public health, very little specific attention has been drawn to how a tripling in aid commitments in the health sector after the Millennium Declaration created new opportunities for the advancement of neoliberal ideas and practices. Here we examine an externally funded aid project in Uttar Pradesh, India that seemed to embrace important public health and access to care concerns but that can also be understood as part of a larger -and damaging -ideological project. We adopt a contextualising and processoriented understanding of 'neoliberalisation' to examine its design and enactment. We also show how these policies were unevenly resisted and advanced by the politicians and civil servants who were expected to guide them through different levels of government on the way to implementation.On the frontline, programme workers and users tactically re-interpreted the notion of 'choice' to serve their interests in ways that were not anticipated by programme designers. In the case of the programme workers these reflected the individualised performance targets set up by the programme and an existing culture of clientelism. Our analysis challenges uncritical portrayals of development assistance for health as a beneficent reallocation of resources.

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“…Public-private partnerships for the delivery of health care, education, or water have been found to have marginalised poor or racial minority women from the benefits of these programmes (Oxfam International 2019). They have sometimes advanced the conservative preferences of corporate ownersfor instance regarding women's reproductive rightsvia restricting access to resources such as contraception (Gideon and Unterhalter 2017).…”

Section: What Has Changed Since Beijing and How Has It Affected Progress For Women?mentioning

confidence: 99%

Can the United Nations deliver a feminist future?

Sandler¹

2020

Gender & Development

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Exploring public private partnerships in health and education: a critique

Cited by 22 publications

References 24 publications

COVID-19 and Private Health: Market and Governance Failure

COVID-19 and Private Health: Market and Governance Failure

Neoliberalisation enacted through development aid: the case of health vouchers in India

Can the United Nations deliver a feminist future?

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