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Drawing on research in central Asia, Dr. Salmaan Keshavjee examines how a health intervention designed for a vulnerable population was constructed in a manner that reflected neither the needs of the target population nor the ethos of the implementing organization. He investigates the implementation of a revolving drug fund—a strategy to shift the burden of pharmaceutical costs onto communities as a means of promoting “sustainable” health care—by an international nongovernmental organization in a poor community in Tajikistan during the years immediately following the collapse of the Soviet Union. Provocative, rigorous, and accessible, Blind Spot offers a stark case study of what has gone wrong with international aid over the last few decades, illustrating how the privatization of health care can have deleterious outcomes for the poor, vulnerable, and hungry.
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Drawing on research in central Asia, Dr. Salmaan Keshavjee examines how a health intervention designed for a vulnerable population was constructed in a manner that reflected neither the needs of the target population nor the ethos of the implementing organization. He investigates the implementation of a revolving drug fund—a strategy to shift the burden of pharmaceutical costs onto communities as a means of promoting “sustainable” health care—by an international nongovernmental organization in a poor community in Tajikistan during the years immediately following the collapse of the Soviet Union. Provocative, rigorous, and accessible, Blind Spot offers a stark case study of what has gone wrong with international aid over the last few decades, illustrating how the privatization of health care can have deleterious outcomes for the poor, vulnerable, and hungry.
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