Download or read book Scaling Up Health Services Delivery for Bottom of the Pyramid Populations in Lower and Middle Income Countries written by Ramanjeet Sohal and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Context: While there have been many successful global health pilots and initiatives that have been implemented, often organizations struggle to scale interventions that have proven efficacy and effectiveness. Within the global health literature, there are limited studies that examine the strategies health services organizations employ to advance delivery for disadvantaged populations in lower-and-middle-income countries. Objectives: The objectives of this thesis are three-fold. First, the thesis provides in-depth case study analysis of an organization that has successfully scaled its operations for the bottom of the pyramid populations in multiple countries in Africa. Second, the thesis analyzes strategies private sector organizations use to achieve scale in lower-and-middle-income countries. Third, the thesis illustrates how value chain integration strategy advances scale up of health services delivery in resource-poor settings. Design: We use a qualitative research methodology to provide rich nuance about empirical phenomena by extending prior research on scaling up health services delivery and applying strategic management frameworks to analyze the phenomenon. While we predominantly employ qualitative case study methodology, we supplement our analysis using exploratory statistical analysis. Results: Many health services organizations operating in lower-and-middle-income country contexts struggle to achieve goals of scale, sustainability and inclusion. Using value chain integration as a framing logic, this research demonstrates that organizations should not try to do everything themselves, especially activities where other actors in the ecosystem have superior skills and positions. We identify three main mechanisms for using value chain integration strategy to scale up health services delivery: identifying mutual dependency with partners, creating an efficiency core and building a strong set of four types of management skills, including financial skill, quality management, supply chain management, and client relationships. Conclusion: The novel contribution of this thesis emerges from the use of a strategic management conceptual framework (i.e., value chain integration) to analyze a health services research context and problem (i.e., health care delivery by an NGO in Africa). Further mixed-methods research, which includes disconfirming or negative case sampling, is needed to examine whether and how health services organizations in resource-constrained environments deploy value chain integration strategies to achieve expansion and deliver services to disadvantaged populations.
Download or read book Improving Health Care in Low and Middle Income Countries written by Lani Rice Marquez and published by . This book was released on 2020-10-09 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice: Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala Haiti's National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India Promoting Rational Use of Antibiotics in the Kyrgyz Republic Strengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania Improving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up Journey Improving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT: This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER: The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. Presents real-life case studies, from all levels of the healthcare system and addressing a wide range of health topics, to teach readers about using quality improvement methodology to strengthen health care in lower- and middle-income countries Teaches readers about the process of designing improvement efforts, choosing priorities, carrying out activities, understanding results, building health worker capacity to improve care, engaging leadership, and applying lessons learned from improvement to spread and scale-up initiatives Provides rich detail on how improvement work is applied in practice rather than focusing on methodologies and theory Includes expert commentaries and analysis to guide the reader in understanding results on key issues and themes in designing, supporting, and scaling up improvement Open access This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.
Download or read book Scaling Up Health Service Delivery written by Ruth Simmons and published by World Health Organization. This book was released on 2007 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The focus here is on ways to increase impact of health service innovations that have been tested in pilot or experimental projects so as to benefit more people and to foster policy and programme development on a lasting, sustainable basis." -- p.i Preface.
Download or read book Improving Health Care in Low and Middle Income Countries written by Lani Rice Marquez and published by Springer Nature. This book was released on 2020-05-26 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice:Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in GuatemalaHaiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient CareScaling Up a Quality Improvement Initiative: Lessons from Chamba District, IndiaPromoting Rational Use of Antibiotics in the Kyrgyz RepublicStrengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, TanzaniaImproving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up JourneyImproving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development. ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID). DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government. div=""^
Download or read book The Fortune at the Bottom of the Pyramid written by C. K. Prahalad and published by Pearson Prentice Hall. This book was released on 2006 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: The world's most exciting, fastest-growing new market is where you least expect it: at the bottom of the pyramid. Collectively, the world's billions of poor people have immense untapped buying power. They represent an enormous opportunity for companies who learn how to serve them. Not only can it be done, it is being done--very profitably. What's more, companies aren't just making money: by serving these markets, they're helping millions of the world's poorest people escape poverty. C.K. Prahalad's global bestseller "The Fortune at the Bottom of the Pyramid," now available in paperback, " "shows why you can't afford to ignore "Bottom of the Pyramid" (BOP) markets. Now available in paperback, it offers a blueprint for driving the radical innovation you'll need to profit in emerging markets--and using those innovations to become more competitive "everywhere." This new paperback edition includes eleven concise, fast-paced success stories from India, Peru, Mexico, Brazil, and Venezuela--ranging from salt to soap, banking to cellphones, healthcare to housing. These stories are backed by more detailed case studies and 10 hours of digital videos on whartonsp.com. Simply put, this book is about making a revolution: building profitable "bottom of the pyramid" markets, reducing poverty, and creating an inclusive capitalism that works for "everyone." Preface xi About the Author xix Part I: The Fortune at the Bottom of the Pyramid 1 Chapter 1: The Market at the Bottom of the Pyramid 3 Chapter 2: Products and Services for the BOP 23 Chapter 3: BOP: A Global Opportunity? 47 Chapter 4: The Ecosystem for Wealth Creation 63 Chapter 5: Reducing Corruption: Transaction Governance Capacity 77 Chapter 6: Development as Social Transformation 99 Part II: Business Success Stories from the Bottom of the Pyramid 113 Financing the Poor 115 Aravind Eye Care-The Most Precious Gift 131 Energy for Everyone 137 Agricultural Advances for the Poor-The EID Parry Story 149 Retail for the Poor 159 Information Technology to the Poor 169 The Jaipur Foot Story 187 Health Alerts for All 191 Transparent Government 201 The Annapurna Salt Story 213 Homes for the Poor-The CEMEX Story 221 From Hand to Mouth-The HHL Soap Story 235 Part III: On the Web at Whartonsp.com Video Success Stories Casas Bahia CEMEX Annapurna Salt Hindustan Lever Jaipur Foot Aravind Eye Care ICICI Bank ITC e-Choupal EID Parry Voxiva E+Co/Tecnosol Andhra Pradesh Full Success Case Stories in pdf format The Market at the Bottom of the Pyramid Known Problems and Known Solutions: What Is the Missing Link? Known Problems and Unique Solutions Known Problems and Systemwide Reform Scaling Innovations Creating Enabling Conditions for the Development of the Private Sector The EID Parry Story Biographies of the Researchers/Writers of the Success Case Stories from "The Fortune at the Bottom of the Pyramid" 247 About the Video Success Stories 255 Index 257
Download or read book Walking the Talk written by Enis BarıŠŸ and published by World Bank Publications. This book was released on 2022-03-14 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Almost half a century ago, policy leaders issued the Declaration of Alma Ata and embraced the promise of health for all through primary health care (PHC). That vision has inspired generations. Countries throughout the world—rich and poor—have struggled to build health systems anchored in strong PHC where they were needed most. The world has waited long enough for high-performing PHC to become more than an aspiration; it is now time to deliver. The COVID-19 (Coronavirus) pandemic has facilitated the reckoning for that shared failure—but it has also created a once-in-a-generation opportunity for transformational health system changes. The pandemic has shown policy makers and ordinary citizens why health systems matter and what happens when they fail. Bold reforms now can prepare health systems for future crises and bring goals such as universal health coverage within reach. PHC holds the key to these transformations. To fulfill that promise, however, the walk has to finally match the talk. Walking the Talk: Reimagining Primary Health Care after COVID-19 outlines how to get there. It charts an agenda to reimagined, fit-for-purpose PHC. It asks three questions about health systems reform built around PHC: Why? What? How? The characteristics of high-performing PHC are precisely those that are most critical for managing the pressures coming to bear on health systems in the post-COVID world. The challenges include future outbreaks and other emergent threats, as well as long-term structural trends that are reshaping the environments in which systems operate in noncrisis times. Walking the Talk highlights three sets of megatrends that will increasingly affect health systems in the coming decades: • Demographic and epidemiological shifts • Changes in technology • Citizens’ evolving expectations for health care. Reimagined PHC systems will be equipped through optimized system design, financing, and delivery to ensure high-quality services, care to address patients’ needs, fairness and accountability, and resilient systems.
Download or read book Health Systems in Low and Middle Income Countries written by Richard D. Smith and published by Oxford University Press. This book was released on 2012 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Outlines the key aspects & issues concerning health systems of low- & middle-income countries, recognising the current global context within which these systems operate & the dynamics of this context. It brings together a set of renowned authors to tackle the issues that face population health & health care in the twenty-first century
Download or read book GE in India written by Suresh Malodia and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: It was the morning of December 2014, Munesh Makhija reflected on the existing strategy of General Electric (GE) for Bottom of Pyramid (BoP) markets. Makhija had taken over as Managing Director, GE India Technology Center and Chief Technology Officer (CTO) - GE South Asia, in early 2014. Earlier, he served as the CTO for GE Healthcare India from 2010 to 2012 and had spent a little over 12 years, much of it in the US, in its healthcare business. In the past few years, he had the opportunity to get a first-hand feel of the BoP market. He could see how healthcare sector, particularly medical devices market was undergoing a rapid transformation. The impact of 'Reverse Innovation' which was the outcome of the strategy adopted by GE to promote frugal innovations with a focus on BoP markets in India and other like markets fascinated him. GE had successfully launched 25 super value products (Exhibit 1) primarily for the BoP market in the last five years and had received a favorable response for all of them. However, frugal innovation in India was becoming more common in the healthcare space ranging from low-cost surgeries to low-cost medical devices and competition was building up.
Download or read book Innovating Healthcare Systems for Emerging Economies written by Abhishek Ekka and published by . This book was released on 2018-01-30 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: In today's world, more globalized than ever, emerging markets are fueling two thirds of the world's corporate revenue growth. Across the developing world, where demand exceeds supply, people increasingly rely on private health care organizations to address their health needs. While demand for affordable and quality care continues to rise on one side, on supply side the cost of care is increasing particularly due to human resource cost, infrastructure cost, drugs, medical devices, logistics cost etc. Hence healthcare service delivery in emerging economies comes with great contradictions: that despite being fast growing economies, healthcare remains unaffordable to the large chunk of its population particularly for patients belonging to the bottom of the pyramid (BoP). Thus the modern healthcare systems are missing out on the "Uncaptured Potential" of the Emerging Markets. In order to offer affordable healthcare to its citizens the developing countries face many challenges, primarily qualified manpower at different levels and their willingness to work in remote as well as smaller cities and towns. These countries also face constraints with traditional government system, fast growing private sector and lack of financial support for its citizens. Many private players including hospitals and medical device companies are developing schemes for healthcare delivery in Emerging Markets. However, models developed for resource rich environment will be less applicable for countries like India and other emerging countries need to develop their own mixed models of care delivery and improve the same based on their experience. In this book, the reader gets a holistic operations perspective on developing tailored and affordable service delivery models for Emerging Economies. The Book is divided into 4 Sections, Section 1 gives details on the demand side in terms Indian Healthcare Economics, the economic burden of diseases and the challenges and opportunities existing in these emerging economies , Section 2 focuses on the supply side, by finding out technical efficiencies of healthcare delivery systems and exploring the reasons of inefficiency and poor scale up, while Section 3 focuses on developing sustainable and profitable innovations and healthcare ventures for emerging markets and Section 4 shows the advent of telemedicine and Artificial intelligence and their use cases in emerging markets. Our Effort has been to put together analysis and findings that we obtained from a set of rigorous research, surveys, literature reviews, expert interviews, mathematical and statistical analysis. Also for better understanding and to back our hypothesis and models, we have included real world case studies at various points. The book also presents more than 20 innovative healthcare models from various emerging economies and tries to device a long term strategy in order to harness the untapped potential of healthcare delivery in Emerging Economies.
Download or read book Empowering Women and Strengthening Health Systems and Services Through Investing in Nursing and Midwifery Enterprise written by Institute of Medicine and published by National Academies Press. This book was released on 2015-06-23 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: In September 2014, the Global Forum on Innovation in Health Professional Education and the Forum on Public-Private Partnerships for Global Health and Safety of the Institute of Medicine convened a workshop on empowering women and strengthening health systems and services through investing in nursing and midwifery enterprise. Experts in women's empowerment, development, health systems' capacity building, social enterprise and finance, and nursing and midwifery explored the intersections between and among these domains. Innovative and promising models for more sustainable health care delivery that embed women's empowerment in their missions were examined. Participants also discussed uptake and scale; adaptation, translation, and replication; financing; and collaboration and partnership. Empowering Women and Strengthening Health Systems and Services Through Investing in Nursing and Midwifery Enterprise summarizes the presentations and discussion of the workshop. This report highlights examples and explores broad frameworks for existing and potential intersections of different sectors that could lead to better health and well-being of women around the world, and how lessons learned from these examples might be applied in the United States.
Download or read book The Next 4 Billion written by Allen L. Hammond and published by World Resources Institute. This book was released on 2007 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considers the four billion low-income consumers which constitute the majority of the world's population, and how to better meet their needs, increase their productivity and empower their entry into the formal economy.
Download or read book Global Mental Health and Psychotherapy written by Dan J. Stein and published by Academic Press. This book was released on 2019-02-12 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: Global Mental Health and Psychotherapy: Adapting Psychotherapy for Middle- and Low-Income Countries takes a detailed look at how psychotherapies can be adapted and implemented in low- and middle-income countries, while also illuminating the challenges and how to overcome them. The book addresses the conceptual framework underlying global mental health and psychotherapy, focusing on the importance of task-shifting, a common-elements approach, rigorous supervision, and the scaling up of psychotherapies. Specific psychotherapies, such as cognitive-behavioral therapy, interpersonal therapy and collaborative care are given in-depth coverage, as is working with special populations, such as children and adolescents, pregnant women, refugees, and the elderly. In addition, treatment strategies for common disorders, such as depression, anxiety and stress, and substance abuse are covered, as are strategies for more severe mental disorders, such as schizophrenia. Provides adapted psychotherapy strategies for low- and middle-income countries Looks at special considerations for particular disorders and populations Covers the treatment of both common and severe mental health problems Focuses on task-shifting, a common-elements approach and scaling of psychotherapies Addresses cognitive-behavioral therapy, interpersonal therapy and schema therapy
Download or read book Turning the World Upside Down written by Nigel Crisp and published by CRC Press. This book was released on 2010-01-15 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Turning the World Upside Down is a search to understand what is happening and what it means for us all. It is based on Nigel Crisp's own journey from running the largest health system in the world to working in some of the poorest countries, and draws upon his own experiences to explore new ideas and innovations around the world. The book has three unique features: Describes what rich countries can learn from poorer ones, as well as the other way round Deals with health in rich and poor countries in the same way, not treating them as totally different, and suggests that instead of talking about international development we should talk about co-development Sets out a new vision for global health, and our rights and accountabilities as citizens of the world There is an unfair import export business in people and ideas that flourishes between rich and poor countries. Rich countries import trained health workers and export their ideas and ideology about health in poorer ones, whether or not they are appropriate or useful. What, Nigel Crisp asks, if we were to turn the world upside down - so the import export business was reversed and poorer countries exported their ideas and experience whilst richer ones exported their health workers? Health leaders in poorer countries, without the resources or the baggage of rich countries, have learned to innovate, to build on the strengths of the population and their communities and develop new approaches that are relevant for the rich and poor alike. At the same time, richer countries and their health workers could help poorer countries to train, in their own country, the workers they need for the future. They would help pay a debt for all the workers who have migrated and learn themselves the new ways of working, which they will need in the 21st Century. We could stop talking about international development - as something the rich world does to the poor - and start talking about co-development, our shared learning and shared future. There is already a movement of people and ideas travelling in this direction. Young people get this intuitively. Many thousands of young professionals want a different professional education for themselves - in global health. Together with the leaders from poorer countries and the innovators around the world, they are creating a new global vision for health. Turning the World Upside Down is a search for understanding that helps us to see how Western Scientific Medicine, which has served us so well in the 20th Century, needs to adapt and evolve to cope with the demands of the 21st Century. It sets our a new vision and concludes by describing the actions we need to take to accelerate the change.
Download or read book Impact of Health Insurance in Low and Middle income Countries written by Maria-Luisa Escobar and published by Brookings Institution Press. This book was released on 2010 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.
Download or read book The underlying dynamics of health care systems in developing countries Health policy planning and the Impact of Social Economic Status SES on Health Disparities written by Mukasa Aziz Hawards and published by Anchor Academic Publishing (aap_verlag). This book was released on 2014-06 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: The impact of health policy and planning are tremendous remedies through which the health care systems derive their primary potentials in the health promotion ventures and interventions. The programs designed in the health arena are tentatively equivocal and submissive to the implications influenced by the policy development criteria and much more open to the planning process. Every day, healthcare organizations are faced with crucial decisions about improving their systems of care and a lack of critical information to guide them. The research they need should be designed to help them provide better care to the patients in their organization, effectively and efficiently. Where does the Medicaid and the medical care strategies, as pursued in the United States of America, have their remedies through policy structure and together with the political culture associated to the system, or perhaps how possible is it that japan has the highest life expectancy co-efficient. The book is more of a fact file as results were generated by the health care research from suitable sectors and comparisons derived from the well-off health care states mainly from the OECD fraternity, as these bare differences due to policy even when their economic bases differ by small percentages. This work should be helpful in directing and providing us with traceable landmarks to follow while seeking to avert the challenges that weaponize the communicable disease prevalence in the society for both the developed and the low developed states.
Download or read book Expanding Access to Health Interventions in Low and Middle income Countries written by Anne Mills and published by . This book was released on 2003 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Financing for Poor People written by Alexander S. Preker and published by World Bank Publications. This book was released on 2004 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most urgent development challenges facing many low and middle income countries is the need for adequate financing systems to pay for health care provision to the estimated 1.3 billion impoverished people living in rural areas or working in the informal sector in urban areas. This publication considers ways of improving the financing of health care at low income levels, as part of a global strategy for increased investment in health and poverty reduction. Topics discussed include: global and regional trends in healthcare financing; strengths and weaknesses of community-based health financing, and experiences in Asia and Africa; country case studies using household survey analysis from Senegal, Rwanda, India and Thailand; deficit financing; and the impact of risk sharing on achieving health system goals.
