The turn to PPPs in the approach to hemodialysis services in public health in Mozambique requires more information from a Government almost entering the final stretch of his mandate. It needs explanation because this is a new public policy thought, which is presented to us without details, when until recently the Government was following the natural path of expanding public investment in the service. In this case, the omission of details of the State’s partner is against the principles of transparency. We all know that, in the infamous PPP for controlling international trade, Frelimo is one of the shareholders through its holding company SPI. And we all know who the state shareholders are behind Revimo (which chaotically manages the road belt around Maputo). But in the case of Renal Care, the Government omitted the identity of its owners, who hide in a Public Limited Company, as has become normal in Mozambique, particularly when the possibility of collusion is greater, namely in large direct State adjustments that end up in the hands of incumbent elites. Anyone who pays attention in Mozambique to matters related to public misconduct knows that the triggering of Public-Private Partnerships does not always result from structural inefficiency and the State’s inability to provide a certain service, but from the “eye” of a private demand that only seeks profit. . In other cases, inefficiency is built precisely to generate the option for “outsourcing”. Take the case of the HCM processing unit. Its current inefficiency arises from the general stagnation that has affected the Health sector or was purposely created to make room for the mass entry of the private sector. Who defends Public Health? (MM) Source: Carta de Moçambique

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