Failed states and states in conflict are special cases in terms of health and development in that the national government, the main party responsible for directing policy to improve national well-being, may lack the resources and/or the will to provide health infrastructure or opportunities for economic development. Although NGOs can fill the power and resource vacuum in these states in the short term, they may not contribute to sustainable health care delivery or development. A main policy challenge in failed and conflict-ridden states is how best to up-scale programs offered by diverse actors targeting health and/or development. The two case studies examined in this chapter are Partners-in-Health/Zamni LaSante in Haiti, which serves as a model for up-scaling, and the Government of Rwanda, which worked to consolidate and direct the resources of disparate non-governmental actors in order to meet national development and health goals.
KeywordsHealth Expenditure State Failure Economic Planning Humanitarian Assistance Conflict Area
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