REFORM FOLLOWS FAILURE - II - PRESSURE FOR CHANGE IN THE LEBANESE HEALTH SECTOR

This paper describes how, against a background of growing financial cr isis, pressure for reform is building up in the Lebanese health care s ystem. It describes the various agendas and influences that played a r ole. The Ministry of Health, backed by some international organization s, has started taking the lead in a reform that addresses both the way care is delivered and the way it is financed. The paper describes the interventions made to prepare reform. The experience in Lebanon shows that this preparation is a process of muddling through, experimentati on and alliance building, rather than the marketing of an overall cohe rent blueprint.