Forty years of USAID health cooperation in Bolivia: a lose-lose game?

Herland Tejerina; Marie-Christine Closon; Pierre De Paepe; Christian Darras; Patrick Van Dessel; Jean-Pierre Unger

doi:10.1002/hpm.2149

Forty years of USAID health cooperation in Bolivia: a lose-lose game?

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

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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.

Original language	English
Journal	International Journal of Health Planning and Management
Volume	29
Issue number	1
Pages (from-to)	90-107
Number of pages	18
ISSN	0749-6753
DOIs	https://doi.org/10.1002/hpm.2149
Publication status	Published - 2014

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title = "Forty years of USAID health cooperation in Bolivia: a lose-lose game?",

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.",

author = "Herland Tejerina and Marie-Christine Closon and {De Paepe}, Pierre and Christian Darras and {Van Dessel}, Patrick and Jean-Pierre Unger",

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T2 - a lose-lose game?

AU - Tejerina , Herland

AU - Closon, Marie-Christine

AU - De Paepe, Pierre

AU - Darras, Christian

AU - Van Dessel, Patrick

AU - Unger, Jean-Pierre

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

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JO - International Journal of Health Planning and Management

JF - International Journal of Health Planning and Management

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ER -

Forty years of USAID health cooperation in Bolivia: a lose-lose game?

Abstract

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