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Item type:Publication, A ‘common sense’ response to health inequalities in Peru? Public-private partnerships in health and the implications for the right to health and economic inequality(Oxford University Press, 2024-11-01)Drawing on the case of Peru, our analysis looks at the ways in which the mainstream media creates support for government policies aimed at implementing Public-Private Partnerships (PPPs) in the health sector. Peru has a highly fragmented and segmented healthcare system, and the COVID-19 pandemic exposed the deeply embedded inequalities in accessing healthcare across the country. Nevertheless, the construction of hospitals financed and managed via a PPP arrangement has been one of the major solutions proposed and implemented by successive Peruvian governments in response to the health sector’s challenges. As our analysis demonstrates, the media has played a significant role in promoting this ‘common sense’ agenda whereby greater reliance on the private sector is presented as a solution to the weaknesses of the public sector. Our article considers the wider evidence on the role of PPPs in the health sector and contends that there is very little evidence on the system-wide benefits of PPPs, thus raising significant concerns about their ability to address health inequalities effectively. It also raises important questions about how far PPPs are able to support states in guaranteeing the right to health for their citizens. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Private financing in health: What does this mean for gender equality?(Edward Elgar Publishing Ltd., 2024-01-01)123—144 An established body of literature has starkly demonstrated the gendered impacts of privatization of ‘the social’ in the context of economic reforms in the 1980s and 1990s including the implications for the health sector. Nevertheless, we have seen a continued expansion of the role of the private sector to finance and deliver health care services and the increased financialization of the health sector evident for example in the growth of private health insurance companies and private finance initiatives for health care infrastructure. In this chapter we consider what these trends mean in a Latin American context, and, drawing more specifically on examples from Chile and Peru, we reflect on some of the limitations of this development from a gender perspective and interrogate some of the gendered assumptions that underpin this trend. We consider what the gendered implications of these processes are for a future research agenda.