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Strategic Purchasing Theory in Weak Governance Contexts: Evidence from Pakistan’s Sehat Sahulat Program

2026-03-24

Abstract excerpt

Strategic purchasing theory, often centered in high-capacity institutions, is built on three main assumptions-purchaser autonomy, professional management, and stable governance. These assumptions are frequently unmet in low- and middle-income health systems, leading to questions about the theory’s applicability in settings with limited institutional capacity, contested authority, and devolved health governance. Th...

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Literature Corpus work
e79eb704-1943-5e35-97c2-d93b7c0b14c9
DOI
10.64898/2026.03.21.26348956
Open publication

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