Download or read book Challenges in Reforming the Health Sector in Africa written by Paulinus Lingani Ncube Sikosana and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The majority of countries are faced with challenges of how to finance and effectively manage their health systems so that they benefit all their citizens without any undue discrimination. Developing countries are particularly worse off since their health systems are weak in terms of health expenditures, leadership, governance and capacity to plan and budget. This book provides an overview of the elements of health sector reforms that countries in Sub Sahara Africa have implemented, the rationale for the reforms, the challenges experienced and the socio-economic environment in which these reforms are being implemented. The significance and implications of the evolving aid architecture and global initiatives are discussed. This theoretical background and analysis is completed by a detailed description of the rationale, implementation framework, implications and outcome of heath sector reform experiences in Zimbabwe.
Download or read book Health Sector Reform in Developing Countries written by Peter A. Berman and published by Harvard Center for Population and Development Studies. This book was released on 1995 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Mexico City or Nairobi or Manila, a young girl in one part of the city is near death with measles, while, not far away, an elderly man awaits transplantation of a new kidney. How is one denied a cheap, simple, and effective remedy while another can command the most advanced technology medicine can offer? Can countries like Mexico, Kenya, or the Philippines, with limited funds and medical resources, find an affordable, effective, and fair way to balance competing health needs and demands? Such dilemmas are the focus of this insightful book in which leading international researchers bring together the latest thinking on how developing countries can reform health care. The choices these poorer countries make today will determine the pace of health improvement for vast numbers of people now and in the future. Exploring new ideas and concepts, as well as the practical experiences of nations in all parts of the world, this volume provides valuable insights and information to both generalists and specialists interested in how health care will look in the world of the twenty-first century.
Download or read book Governing Health Systems in Africa written by Martyn Sama and published by African Books Collective. This book was released on 2008-03-15 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on various disciplinary perspectives, this book re-focuses the debate on what makes a good health system, with a view to clarifying the uses of social science research in thinking about health care issues in Africa. The explosion of the HIV/AIDS pandemic, the persistence of malaria as a major killer, and the resurgence of diseases like tuberculosis which were previously under control, have brought about changes in the health system, with implications for its governance, especially in view of the diminished capacity of the public health facilities to cope with a complex range of expanded needs. Government responsibilities and objectives in the health sector have been redefined, with private sector entities (both for profit and not-for profit) playing an increasingly visible role in health care provisions. The reasons for collaborative patterns vary, but chronic under-funding of publicly financed health services is often an important factor. Processes of decentralisation and health sector reforms have had mixed effects on health care system performance; while private health insurance markets and private clinics are pointers to a growing stratification of the health market, in line with the intensified income and social differentiation that has occurred over the last two decades.These developments call for health sector reforms.
Download or read book Health Sector Reform in the Middle East and North Africa written by Abdo S. Yazbeck and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The mass protests that swept the Middle East and North Africa (MENA) region since December 2010 called for social justice and a dignified life and well-being for all citizens. Beyond the political and economic dimensions, these popular uprisings were also fueled by a strong sense of discontent with struggling health systems that have not delivered on the promise for better, more affordable, and equitable healthcare. This special issue of Health Systems & Reform examines government efforts that have been adopted since 2011 to address imminent health system challenges in the MENA region. It attempts to capture some of the fundamental health sector reforms that have been adopted by MENA countries to address their population"s demands for better health care service delivery, access, and equity. The articles included in this special issue relate to projects that have been financed by the World Bank in the last six years, or where technical assistance was provided by the World Bank to MENA governments.
Download or read book Reforming Health Care in the United States Germany and South Africa written by Susan Giaimo and published by Springer. This book was released on 2016-04-29 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: As countries confront new health care challenges in the 21st century, their health care systems reflect the problems and political settlements of an earlier age. Meeting these new challenges requires reform of existing health care system arrangements while reconciling the goals of equitable access to quality care at an affordable price. This book compares health care reforms in industrialized nations and the Global South to uncover the similarities and differences in their problems and solutions. It examines the struggle over the Affordable Care Act and its alternatives in the United States, major health care reforms in Germany in the new century, and South Africa's efforts to combat AIDS and construct a comprehensive health care system for all. These particular reforms reflect the underlying configuration of politics in each country.
Download or read book Health Sector Reform written by Andrew Cassels and published by . This book was released on 1997 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Reform in Africa written by Bruce Siegel and published by World Bank Publications. This book was released on 1996-01-01 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Describes the World Bank's 24 years of lending experience in urban development and makes recommendations for improving urban services, public health, and public financing.
Download or read book Global Politics of Health Reform in Africa written by Amy Barnes and published by Springer. This book was released on 2014-12-10 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on qualitative research with African actors and global health institutions, the authors explore the politics of how performance funding modalities and participation are used to shape health reform in African countries as well as the role of African actors, global policy elites and international donors within these processes.
Download or read book Financing Health Services in Developing Countries written by John S. Akin and published by World Bank Publications. This book was released on 1987-01-01 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.
Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
Download or read book New Public Management in Developing Countries The Case of Health Sector Reform written by Ali Nadeem and published by GRIN Verlag. This book was released on 2016-10-25 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: Polemic Paper from the year 2016 in the subject Business economics - Economic Policy, , language: English, abstract: This paper explores the definition of New Public Management (NPM), introduces its application in developing countries, and uses specific examples pertaining to health sector reform to demonstrate the effectiveness of NPM. The essay first introduces different concepts of NPM from different scholars, then discusses the implementations of NPM in developing countries, using as case-studies the health sector reforms of Ghana, Zambia and China. Furthermore, the essay shows the influence of NPM and illustrates the improvements of health services in the aforementioned countries. Finally, this report concludes the findings, showcasing NPM as a useful paradigm to reform health sector in developing countries.
Download or read book Health Reforms Across The World The Experience Of Twelve Small And Medium sized Nations With Changing Their Healthcare Systems written by Kieke G Okma and published by World Scientific. This book was released on 2020-02-24 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents the health reform experiences over the past three decades of twelve small and medium-sized nations that are not often included in international comparative studies in this field. The major conclusion of the study is that despite many similarities in policy goals, policy challenges and in the menu of policy options for countries that seek to offer universal coverage to their population, the health reforms of the nations in this book did not converge into one direction or model. However, we found several widespread policy experiences that are relevant for others, too.For example, user fees are unpopular everywhere. Governments often try to soften the consequences by exempting large groups of users, thus largely defeating the very purpose of those fees.As a second example, the introduction of new payment modes for medical care — like the shift from fee for service to case-based payment — took much longer than originally expected everywhere, and also failed to deliver their promises of improved transparency or efficiency gains A third example is that proposals are for universal coverage often ignore the challenges of implementing new financing models that elsewhere took decades if not centuries to develop.The conclusions contain both empirical findings and theoretical conclusions of interest to policy-makers and scholars of international comparison. It is accessible for academics, healthcare managers and students as well as a wider audience of readers interested in the changes in healthcare across the world.
Download or read book Public Sector Reform in the Middle East and North Africa written by Robert P. Beschel and published by Brookings Institution Press. This book was released on 2020-12-01 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical examinations of efforts to make governments more efficient and responsive Political upheavals and civil wars in the Middle East and North Africa (MENA) have obscured efforts by many countries in the region to reform their public sectors. Unwieldy, unresponsive—and often corrupt—governments across the region have faced new pressure, not least from their publics, to improve the quality of public services and open up their decisionmaking processes. Some of these reform efforts were under way and at least partly successful before the outbreak of the Arab Spring in 2010. Reform efforts have continued in some countries despite the many upheavals since then. This book offers a comprehensive assessment of a wide range of reform efforts in nine countries. In six cases the reforms targeted core systems of government: Jordan's restructuring of cabinet operations, the Palestinian Authority's revision of public financial management, Morocco's voluntary retirement program, human resource management reforms in Lebanon, an e-governance initiative in Dubai, and attempts to improve transparency in Tunisia. Five other reform efforts tackled line departments of government, among them Egypt's attempt to improve tax collection and Saudi Arabia's work to improve service delivery and bill collection. Some of these reform efforts were more successful than others. This book examines both the good and the bad, looking not only at what each reform accomplished but at how it was implemented. The result is a series of useful lessons on how public sector reforms can be adopted in MENA.
Download or read book Historical Perspectives on the State of Health and Health Systems in Africa Volume II written by Mario J. Azevedo and published by Springer. This book was released on 2017-01-24 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on Africa’s challenges, achievements, and failures over the past several centuries using an interdisciplinary approach that combines theory and fact and evidence-based practices and interventions in public health, and argues that most of the health problems in Africa are not a result of scarce or lack of resources, but of the misconceived and misplaced priorities that have left the continent behind every other on the globe in terms of health, education, and equitable distribution of opportunities and access to (quality) health as agreed by the United Nations member states at Alma-Ata in 1978.
Download or read book Health Systems Improvement Across the Globe written by Jeffrey Braithwaite and published by CRC Press. This book was released on 2017-08-07 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following on from 2015’s Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries, this book encompasses a global perspective on healthcare while shifting the focus from reform to showcasing success stories of healthcare systems worldwide. It provides explanations of why various facets of healthcare systems work well in different contexts and offers the reader alternative models for consideration. The book features contributions from 60 countries, going much further than the common practice of focusing on affluent Western nations, to provide a comprehensive exploration of the success of healthcare systems globally. The majority of literature on health-sector improvement attempts to address the problems within systems, relating the errors that can and do occur, for example, and offering solutions and preventative strategies. This book of country case studies will approach the enhancement of health systems, patient safety and the quality of care in a new and innovative way, comprehensively surveying and synthesizing the success stories of healthcare systems around the world, utilizing Hollnagel’s Safety-II approach to acknowledge the importance of exploring what goes right, what works well, and why it works. These success stories may include reference to macro, meso or micro levels of healthcare systems, various sectors (e.g., aged care, acute care or primary care), or specific programs or projects. Health System Improvement Across the Globe: Success Stories from 60 Countries is unprecedented in terms of both reach and positive emphasis, and as such will be instrumental in changing ways of thinking about and guiding health-sector improvement.
Download or read book The Drivers of Universal Health Care in South Africa written by Rebecca Surender and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: To address problems of inadequate public health services, escalating private healthcare costs and widening health inequalities, the South African government has launched a radical new proposal to introduce a universal health system for all South Africans; National Health Insurance (NHI). While most attention has been thus far devoted to the economics and fiscal affordability of universal coverage, relatively less attention has been paid to wider challenges - in particular the important role played by key stakeholders tasked with designing and implementing the reforms. This paper outlines the opportunities and challenges posed by the proposed NHI reforms in South Africa. It begins by explaining the countryś current system of health care provision including its human resource structure, functions and cost implications. It then summarizes the deficits and limitations of the current two-tiered health system and discusses what NHI is trying to achieve within this context and how it hopes to address the problems. Finally, the paper examines the political and institutional challenges the reforms will face with a particular focus on the actors involved. The findings suggest that the government will face considerable challenges to its proposed reform path and that the eventual design of the new system may have to be a compromised version of the system envisaged in the original Green Paper. In particular the government will face significant challenges in garnering the support of sections of the medical profession tasked with implementing the reforms.
Download or read book Gender and Health Sector Reform written by Oliver Hedderich and published by GRIN Verlag. This book was released on 2007-08 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Seminar paper from the year 2004 in the subject Economy - Health Economics, grade: 2,0, University of G ttingen, 26 entries in the bibliography, language: English, abstract: The health sector is facing cost explosions for various reasons. Facing limited resources contemporary politics tend to focus on the reduction of costs when talking about reforming the health sector. Reforming the health sector is a complex issue with implications on equity. Since women are particularly vulnerable in health issues, this paper deals with the effects of health sector reforms on gender and equity. Therefore, it describes what kind of challenges the different health systems around the world have to face and how policy responds. The different components of health sector reforms are researched towards the effect on gender equity. Figures and examples are used to prove the evidence of the subject and the implications on gender issues. This paper concludes that women are often disadvantaged in access to health care due to barriers in access to remuneration and cultural barriers within families. This affects women's health status. A major challenge in this context is to promote the participation of women in order to adjust reforms and components of services to their needs.
