This chapter investigates the role of public and private agents in the procurement of medicines and medical equipment through interviews with informants at the ministry of health, the central medical store, and with the private suppliers. The chapter particularly brings to light an array of themes and debates about the cost of short versus long term, lease/rent procurement contracts for medical equipment, the tension between multinational pharmaceuticals and small suppliers of drugs, the role of technological innovation (e-governance) in reform, and bureaucratic centralization in decision-making versus organizational decentralization.

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