National Health insurance—a Brief History of reform efforts in the u.s.
National Health insurance—a Brief History of reform efforts in the u.s.
The need to train those who will be responsible for the O&M is an important institutional issue. Sometimes those responsible may be in the community, sometimes they may be a private contractor, or sometimes they may be in the ministry. User training is needed, par- ticularly in water supply and sanitation. Sanitation education has not always been provided and is very important. If the operator is going to be the sectoral agency, sometimes basic budgetary reforms need to be addressed. It is not a