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Open Access Highly Accessed Case study

A case study of health sector reform in Kosovo

Valerie Percival1* and Egbert Sondorp2

Author Affiliations

1 Norman Paterson School of International Affairs, Carleton University, 1125 Colonel By Drive, Ottawa, ON, K1S 5B6, Canada

2 London School of Hygiene and Tropical Medicine, Keppel St, London, WC1E 7HT, UK

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Conflict and Health 2010, 4:7  doi:10.1186/1752-1505-4-7

Published: 16 April 2010

Abstract

The impact of conflict on population health and health infrastructure has been well documented; however the efforts of the international community to rebuild health systems in post-conflict periods have not been systematically examined. Based on a review of relevant literature, this paper develops a framework for analyzing health reform in post-conflict settings, and applies this framework to the case study of health system reform in post-conflict Kosovo. The paper examines two questions: first, the selection of health reform measures; and second, the outcome of the reform process. It measures the success of reforms by the extent to which reform achieved its objectives. Through an examination of primary documents and interviews with key stakeholders, the paper demonstrates that the external nature of the reform process, the compressed time period for reform, and weak state capacity undermined the ability of the success of the reform program.