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Ses statuts sont fondés sur ceux de l'Académie royale de chirurgie (1731) et http://medicamentsen-ligne.com/ cialis de la Société royale de médecine (1776). L'Académie de médecine, de royale, devint impériale de 1851 à 1870, puis nationale à partir du 1er mars 1947. Elle sera en outre chargée de continuer les travaux de la Société royale de médecine et de l'Académie royale de chirurgie : elle s'occupera de tous les objets d'étude ou de recherches qui peuvent contribuer au progrès des différentes branches de l'art de guérir.

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Private sector participation in infrastructure has had a difficult history in Africa, but in some sectors it has led to significant investment and performance improvements

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The extent of private sector participation varies significantly across sectors, and the lessons learned must be nuanced accordingly (see table). Whereas some sectors display a significant degree of private sector participation leading to positive outcomes (mobile telephony, power generation, airports and ports), results in other sectors have been mixed (roads, power, and water supply). A relatively high percentage of private sector contracts have been prematurely cancelled, particularly for power and water. In all infrastructure sectors, contract negotiation, monitoring, and enforcement have proven more time-consuming and difficult than expected.

Despite difficulties, there have been considerable gains from private participation. A higher degree of private sector involvement is associated with higher labor productivity, though the link is statistically significant only in the case of electricity and ports, and somewhat higher cost-recovery ratios. In telecommunications, the countries with above-average private involvement display higher access both in the fixed and mobile segments of the market. And more extensive private involvement in ports is associated with above-average technical efficiency.

 


Overview of African experience with private sector participation in infrastructure


           
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