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Submitted by Sunny Dzik, Boston on
I suspect, strongly, that the same principle may apply in government-sponsored healthcare in Africa. Creating "bed capacity" and hiring healthcare workers might have simply resulted in a situation where the healthcare workers (like teachers) would find it more suitable not to come to work on some days, still collect a salary, and then moonlight in a non-gov't hospital on those "absentee days"..... so, here again, the emphasis will need to be not on enrolment, but rather on (health) outcomes (under 5 mortality, death in childbirth, etc). One has the sense that maybe healthcare has already got off on the right foot.... since health outcomes are perhaps easier to "count" than learning..... and so the healthcare system may give insights to what you propose.