Coproduction between state and civil society for the delivery of public services raises a host of questions that go from the capture of the state, to cooptation of civil society, and efficiencies or accountability in the delivery of public services. Moreover, when this cooperation focuses on vulnerable and historically marginalized indigenous populations, ethical concerns arise about intercultural health and sensitive care.
We are working with two health care non-governmental organizations that deliver mobile health services to pregnant women and children in the tri-border area of Argentina, Bolivia, and Paraguay. The main goal of our research is to assess the impact of the medical intervention and study the individual, community, institutional, and country level determinants of health outcomes.