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 183 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 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 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 Challenges in Reforming the Health Sector in Africa second Edition written by Paulinus L. N. Sikosana and published by Trafford Publishing. This book was released on 2009-09-08 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Health Reform in Africa written by and published by . This book was released on 1996 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Health Services in Africa written by Chinua Akukwe and published by . This book was released on 2008 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: The challenges to better health services in Africa are well known: Africa lags behind all regions of the world, including other developing regions, on all indicators of better health. A recent report from the World Health Organisation for instance shows that while Africa has 20% of the world's sick people, it has only 4% of its healthcare workers - many of them vulnerable to the high mortality rate associated with malaria and notably the AIDS epidemic. The state of investment in healthcare infrastructure is also grossly inadequate as is the efficiency of healthcare delivery. But does this need to be so? What factors are responsible for this unacceptable state of affairs? Contributors to the volume examine the evolution of healthcare services in Africa, the ongoing national, regional and continental efforts to improve the delivery of healthcare in the continent, and the direct and indirect obstacles militating against the maturation of the services and their efficient delivery. The contributors - all distinguished experts in the field, - so provide powerful personal insights and lessons learned in their current or previous work in the health sector in Africa. Some of the themes covered include clinical care and centers of excellence, healthcare finance and resource mobilization, primary health care systems and community health and preventive care and risk reduction in health. From their analyses and experience the authors articulate strategies and solutions on how to improve the quality of health services and health outcomes in the continent. ____________________________________ Dr. Chinua Akukwe is the Chairman of the Technical Advisory Board of the Africa Center for Health and Human Security, George Washington University Medical Center, Washington, DC., USA. He is an adjunct professor of global health and also an adjunct professor of preventive and community health at the school of public health, George Washington University. He is also a member of the Board of Directors of the Constituency for Africa, Washington, DC. He previously served as the Vice Chairman of the National Council for International Health, now known as the Global Health Council Washington, DC, the largest voluntary international health organization in the world. Dr. Akukwe, who is also the Chairman of the Board of Directors of the newly established Africa Center for Epidemiology and Diseases Economics Research, Abuja, Nigeria, has written extensively on HIV/AIDS, health and development issues in Africa. He is the author of two recent books on Africa: Don't Let them Die: HIV/AIDS, TB, Malaria and the Healthcare Crisis in Africa and Beyond the Rhetoric: Essays on Africa's Development Challenges. He is also a co-author of a recent book on AIDS Orphans in Africa and their Grandparents. Dr Akukwe developed the communicable diseases guidelines for the African Development Bank. He also developed the strategic framework and plan of action for achieving universal access to treatments for HIV/AIDS, TB and Malaria for the Africa Union's (AU) Commission of African Heads of State during the Abuja 2006 Special Summit on HIV/AIDS, TB and Malaria. The Strategic Framework for Action document was approved by the African Council of Health Ministers at its April 2007 continental summit in Johannesburg, South Africa. Dr. Akukwe is a Fellow of the Royal Society of Medicine, London and a Fellow of the American College of Epidemiology. He is also a Senior Fellow on Global Health at the National Medical Association, Washington, DC.
Download or read book The Dynamics of Policy Change written by Lucy Gilson and published by . This book was released on 2000 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Your Pocket Is What Cures You written by Ellen E Foley and published by Rutgers University Press. This book was released on 2009-12-03 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the wake of structural adjustment programs in the 1980s and health reforms in the 1990s, the majority of sub-Saharan African governments spend less than ten dollars per capita on health annually, and many Africans have limited access to basic medical care. Using a community-level approach, anthropologist Ellen E. Foley analyzes the implementation of global health policies and how they become intertwined with existing social and political inequalities in Senegal. Your Pocket Is What Cures You examines qualitative shifts in health and healing spurred by these reforms, and analyzes the dilemmas they create for health professionals and patients alike. It also explores how cultural frameworks, particularly those stemming from Islam and Wolof ethnomedicine, are central to understanding how people manage vulnerability to ill health. While offering a critique of neoliberal health policies, Your Pocket Is What Cures You remains grounded in ethnography to highlight the struggles of men and women who are precariously balanced on twin precipices of crumbling health systems and economic decline. Their stories demonstrate what happens when market-based health reforms collide with material, political, and social realities in African societies.
Download or read book Accelerating Health Reforms Through Collective Action written by Yvonne Korkoi Nkrumah and published by World Bank Publications. This book was released on 2014 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication briefly describes the processes and methodologies for building and sustaining multistakeholder coalition to drive reforms in the health sector. It is based on the experiences of three East African countries -- Uganda, Tanzania and Kenya. It outlines, by chapter, each country's experience in identifying, mobilizing, and coalescing key stakeholders to address governance bottlenecks in pharmaceutical procurement and supply chain management. It highlights challenges, successes as well as lessons learned to guide other countries.
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 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 Underdevelopment and Health Care in Africa written by Randolph Quaye and published by . This book was released on 1996 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers strategies for overcoming ill health in Ghana through critical examination of issues of accessiblity, inequality and stratification in the health delivery systems in the developing world.
Download or read book Balancing Public and Private Health Care Systems written by Randolph Quaye and published by University Press of America. This book was released on 2010-02-15 with total page 83 pages. Available in PDF, EPUB and Kindle. Book excerpt: Balancing Public and Private Health Care Systems appears at a timely moment, given widespread current discussion about equity in healthy care and the role of the state in healthcare planning. In response to the World Bank recommendation that the principle of cost recovery be included in healthcare financing strategies, African countries embraced the principle of public-private partnerships in healthcare. It was argued then, and still now, that a way out of their health conundrum is for governments to play a smaller role in healthcare. The present book explores the different financing arrangements in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare strategies in Africa, especially during a decade of market-oriented healthcare reform. Drawing upon current research and case studies, as well as recent work by the author himself on African healthcare systems, this book sets out to analyze the implications of the various strategies for the future of healthcare financing in Africa.
Download or read book Primary Health Care In Africa written by Clive Gray and published by Routledge. This book was released on 2019-06-04 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Mali Rural Health Project was designed as a model effort within the US foreign aid programme for extending rudimentary health services in rural areas of developing nations. Although some success was achieved, the programme proved to be too costly for nation-wide implementation, thus failing to achieve its immediate goals. The authors' assessmen
Download or read book Diversity and Division in Medicine written by Anne Digby and published by Peter Lang. This book was released on 2006 with total page 510 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an innovative investigation of pluralism in health care. Using both extensive archival material and oral histories it examines relationships between indigenous healing, missionary medicine, and 'western' biomedicine. The book includes the different regions within South Africa although focusing in most detail on the Cape, the earliest area of white settlement. In a wide-ranging survey the division in medicine between 'western' and indigenous medicine is analysed through an exploration of the evolving practices of healers, missionaries, doctors and nurses. The book considers the extent to which there was a strategic crossing of boundaries in the construction of hybrid practices by these practitioners, and the extent to which patients pursued health by sampling diverse care options. Starting with missionary penetration during the early nineteenth century, the volume outlines interventions by the colonial state in medicine and public health, and the continued resilience of indigenous healing in the face of this. The book ends by relating past to present in scrutinising the legacy of historical structures - including those of the apartheid state - for current health care, and in briefly discussing the huge challenges that the HIV/Aids pandemic poses in impacting on them. The book thus provides an inclusive history of medicine for the 'New' South Africa.
