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Báo cáo y học: " A case study of health sector reform in Kosovo"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: A case study of health sector reform in Kosovo. | Percival and Sondorp Conflict and Health 2010 4 7 http www.conflictandhealth.eom content 4 1 7 CONFLICT AND HEALTH CASE STUDY Open Access A case study of health sector reform in Kosovo Valerie Percival 1 and Egbert Sondorp2 Abstract The impact of conflict on population health and health infrastructure has been well documented however the efforts of the international community to rebuild health systems in post-conflict periods have not been systematically examined. Based on a review of relevant literature this paper develops a framework for analyzing health reform in postconflict settings and applies this framework to the case study of health system reform in post-conflict Kosovo. The paper examines two questions first the selection of health reform measures and second the outcome of the reform process. It measures the success of reforms by the extent to which reform achieved its objectives. Through an examination of primary documents and interviews with key stakeholders the paper demonstrates that the external nature of the reform process the compressed time period for reform and weak state capacity undermined the ability of the success of the reform program. Introduction This paper examines the efforts to rebuild the health system in Kosovo after the United Nations established administrative control of the province in 1999. In many ways Kosovo represented the beginning of a new form of international engagement in countries emerging from armed conflict. The international community assumed administrative control of the province including control over the health sector. However unlike other post-conflict states such as Afghanistan and Iraq the implementing environment in Kosovo was favourable high levels of donor assistance were dispersed the majority of the population supported the military intervention and the province had reasonably high levels of human capital concentrated in a small geographic area situated in Europe. Because of these factors Kosovo is an .