Efforts to change the public-private mix in health care provision are becoming a common feature of health sector reform programmes world wide. There are a number of reasons for this trend. First, rising health costs and the growing demand for health services have led many governments to realise the goal of universal free care may not be attainable. Second, growing acceptance of the principles of New Public Management. Theory which seeks to inject a more business oriented approach to public sector management, including the separation of responsibilities for purchasing and providing health care. Third, the recognition that the private sector is already a significant player in health sector financing and provision and benefits of the sector should be harnessed.
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