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Health systems in most low-income countries are under-resourced and underused, failing to meet the needs of those who need health care the most. But what if health service providers-or even patients-were rewarded partially on the basis of their performance? Based on a review of experiences to date, the authors of this volume argue that performance incentives have great potential to improve health care for the world's poor. They are one way to use funding dedicated to individual diseases or interventions to strengthen core health system functions. In Part I, Eichler and Levine provide clear guidance about how to design, implement, and evaluate such programs, whether they target health care providers, patients, or both. Part II comprises a set of case studies that examine the use of such incentives to address a range of health conditions and challenges in diverse countries. Performance Incentives for Global Health: Potential and Pitfalls will help policymakers and program managers in developing countries and in the donor community improve health care systems through the strategic use of performance incentives. Book jacket.
This publication contains a collection of papers which span 21 years of the author's thought and experiences regarding the subject on health economics, working at the Pan American Health Organization, the World Health Organization and the World Bank. The papers consider a range of topics including: the connection between public health and economics; the issue of equity in health; effectiveness and efficiency, particularly in relation to communicable diseases and malnutrition; health financing; how the burden of ill health is measured; the roles of the state and the market in health. The empirical material refers to a variety of specific health problems or interventions, including: smoking, polio, malaria, immunisation and various forms of malnutrition.
This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing and contracting of services from non-governmental providers. It is divided into six sections under the headings of: the conceptual framework; how to make strategic purchasing pro-poor; purchasing health services; purchasing inputs; supply, demand and markets; legal and regulatory issues.
Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on perform...
Although Ethiopia has made steady progress in health outcomes over the past 10 years, some health challenges remain, particularly those related to maternal health. In part this may be linked to the insufficient number of health professionals providing maternal care services, particularly in the rural parts of the country.
In the mid-1990s, civil war and genocide ravaged Rwanda. Since then, the country’s new leadership has undertaken a highly ambitious effort to refashion Rwanda’s politics, economy, and society, and the country’s accomplishments have garnered widespread praise. Remaking Rwanda is the first book to examine Rwanda’s remarkable post-genocide recovery in a comprehensive and critical fashion. By paying close attention to memory politics, human rights, justice, foreign relations, land use, education, and other key social institutions and practices, this volume raises serious concerns about the depth and durability of the country’s reconstruction. Edited by Scott Straus and Lars Waldorf, Remaking Rwanda brings together experienced scholars and human rights professionals to offer a nuanced, historically informed picture of post-genocide Rwanda—one that reveals powerful continuities with the nation’s past and raises profound questions about its future. Best Special Interest Books, selected by the American Association of School Librarians Best Special Interest Books, selected by the Public Library Reviewers
Many countries that subscribe to the Millennium Development Goals (MDGs) have committed to ensuring access to basic health services for their citizens. Health insurance has been considered and promoted as the major financing mechanism to improve access to health services, as well to provide financial risk protection.
Past successes are creating new challenges for the Chilean health care system. Chile's population is aging as a result of increasing life expectancy and declining fertility. In Chile, as elsewhere in the world, an older population causes concern about greater use of health services, and the corresponding financial burden. Increasingly, Chile's medical system is using advanced technologies to provide care for serious health conditions affecting people of all ages. The expansion in access to costly, high-technology services puts additional pressure on health care financiers. This paper contributes to discussions on two related aspects of the future of Chile's health care delivery and financing...