ABSTRACT

Global health programs are compelled to demonstrate impact on their target populations. We study an example of social franchising – a popular healthcare delivery model in low/middle-income countries – in the Ugandan private maternal health sector. The discrepancies between the program’s official profile and its actual operation reveal the franchise responded to its beneficiaries, but in a way incoherent with typical evidence production on social franchises, which privileges simple narratives blurring the details of program enactment. Building on concepts of not-knowing and the production of success, we consider the implications of an imperative to maintain ambiguity in global health programming and academia.

摘要

全球卫生规划被迫展示对其目标人群的影响。我们研究了乌干达私营孕产妇保健部门社会特许经营的一个例子——一种在低收入/中等收入国家流行的医疗保健提供模式。该计划的官方简介与其实际运作之间的差异揭示了特许经营对其受益人的回应，但在某种程度上与社会特许经营的典型证据生产不一致，社会特许经营的特权简单叙述模糊了计划制定的细节。基于不知道和成功的概念，我们考虑了在全球卫生规划和学术界保持模糊性的必要性的影响。