2009
DOI: 10.1002/jid.1574
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Public sector institutions, politics and outsourcing: Reforming the provision of primary healthcare in Punjab, Pakistan

Abstract: Lodhran|Rahim Yar Khan (RYK) model of primary healthcare is a home-grown experiment in Pakistan. The model envisaged transferring the management of primary healthcare facilities to a public sector NGO. The paper finds that through the re-alignment of interest groups, the model was replicated in several other districts of the province. It also examines the evolution of stakeholders' behaviour, interest, position and influence in its implementation over a period of time. The study concludes that sustainability o… Show more

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Cited by 4 publications
(2 citation statements)
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“…Finally, and more specifically, the Provincial Government of Punjab, the biggest populated province of Pakistan with a population of 110m, took different initiatives with special reference to knowledge management to revitalize the public sector. In this regard, different knowledge management initiatives and practices in the public health sector of Punjab province were adapted (Qazi et al, 2016;Khan, 2010;Abass et al, 2011;Ravindran, 2010;Mushtaq et al, 2016). Knowledge management initiatives were aimed to tackle the low organizational commitment and contextual performance of the Health Department workers.…”
Section: Introductionmentioning
confidence: 99%
“…Finally, and more specifically, the Provincial Government of Punjab, the biggest populated province of Pakistan with a population of 110m, took different initiatives with special reference to knowledge management to revitalize the public sector. In this regard, different knowledge management initiatives and practices in the public health sector of Punjab province were adapted (Qazi et al, 2016;Khan, 2010;Abass et al, 2011;Ravindran, 2010;Mushtaq et al, 2016). Knowledge management initiatives were aimed to tackle the low organizational commitment and contextual performance of the Health Department workers.…”
Section: Introductionmentioning
confidence: 99%
“…20 Community healthcare workers are either directly employed by the government or managed through outsourcing or contracting of private sector. 21 For this study, the data will be collected and intervention will be administered by hiring existing community healthcare workers, assisted by both the government and private sector. They will have a minimum 1 year of working experience in delivering primary healthcare services in the community.…”
Section: Data Collectorsmentioning
confidence: 99%