Table 1.
Aspect of performance | Expected outcome | Actual outcome |
---|---|---|
Access | Increased physical access; increased economic access | Increased physical access through private sector. Reduced economic access. |
Equity | Increased equity | Reduced equity |
Quality | Increased technical quality, reduced consumer based quality | Same or reduced overall quality of health services |
Efficiency | Increased output/outcome for a given input | No evidence for better efficiency |
Sustainability | Increasing proportion of internal financing of public services | Over 50% dependence on donors. More dependence on external support expected |
Health status | Improved nutrition and reduced mortality | Persistently high mortality and childhood malnutrition |