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In the past 30 years, African countries have made remarkable improvements in health conditions and status. However, they still suffer from some of the worst health conditions in the world. This study sets out to make available national-level information on health expenditures, health service outputs, and health outcomes in a way that could assist health planning and policy development in Africa. It outlines broad patterns of health spending, service delivery, mortality, fertility and malnutrition in Africa in the early to mid 1990s. By also exploring gaps in information available and potential uses of health information, the paper intends to stimulate discussion on how better to monitor prog...
Malnutrition is a factor in half of all child deaths, as well as hindering childhood development and increasing the risk of chronic diseases in later life. It is clear that the Millennium Development Goals cannot be reached without significant global efforts to eliminate malnutrition. This report has been jointly produced by UNICEF and the World Bank and examines lessons learned from the development policy agenda to reduce malnutrition levels and promote nutrition programmes. It includes country case studies from India, Madagascar, the Philippines and Tanzania.
Annotation This volume views community-based microinsurance as an incremental first step to improved financial protection and better access to health services for the poor. While community-based financing can be structured in various ways, this volume focuses on reinsurance as a mechanism for improving micro-level health insurance units. It outlines strategies and policies that can be applied by countries and donors to improve access to health care services.
As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.
Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize ...
Includes table of health system attainment and performance in all member states (191), ranked by eight measures.
Margaret Chan, Director General of the World Health Organization, has stated that "Universal Health Coverage is the single most powerful concept that public health has to offer." In this Series from The Lancet, the first of three papers explores the evidence on the links between expansions in coverage and population health outcomes. The second paper looks at the political and economic dimensions of the transition to universal health coverage, and the third examines nine low-income and lower-middle-income countries in Africa and Asia that have implemented national health insurance reforms. Also, a Viewpoint calls for continued progress and argues for a large public sector role in health syste...
Economic shocks pose a threat to health and health system performance by increasing people’s need for health care and making access to care more difficult – a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors: ï...