Universal health coverage – ensuring everyone can get quality, affordable healthcare when they need it – is one of the targets of the Sustainable Development Goals.
But progress towards meeting this target has been elusive, especially in developing countries. In recent years, existing weaknesses in public health systems have been magnified by the COVID pandemic, strained public budgets, rising public debt and climate change-related risks.
An increasingly common governmental strategy for universal health coverage is to contract private companies or non-profit organisations to provide healthcare services on its behalf. Known as “contracting out”, it is often seen as a way to bypass perceived public sector inefficiencies and rigidities, and to use existing private sector infrastructure and resources to expand public service provision.
