Health Care In Central Asia

Author : Mckee,Judith Healy,Jane Falkingham
Publisher : Open University Press
Page : 248 pages
File Size : 44,5 Mb
Release : 2002
Category : Health & Fitness
ISBN : UOM:39015055822624

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Health Care In Central Asia by Mckee,Judith Healy,Jane Falkingham Pdf

Central Asia remains one of the least known parts of the former Soviet Union. The five central Asian republics gained their unexpected independence in 1991. They have faced enormous challenges over the last decade in reforming their health care systems, including adverse macro-economic conditions and political instability. To varying extents, each country is diverging from a hierarchical and unsustainable Soviet model health care system. Common strategies have involved devolving the ownership of health services, seeking sources of revenue additional to shrinking state taxes, 'down-sizing' their excessive hospital systems, introducing general practitioners into primary care services, and enhancing the training of health professionals. This book draws on a decade of experience of what has worked and what has not. It is an invaluable source for those working in the region and for others interested in the experiences of countries in political and economic transition.

Author : Zuzana Feachem,Martin Hensher,Laura Rose
Publisher : World Bank Publications
Page : 172 pages
File Size : 52,5 Mb
Release : 1999
Category : Medical
ISBN : 0821343378

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Implementing Health Sector Reform in Central Asia by Zuzana Feachem,Martin Hensher,Laura Rose Pdf

It is easy for reformers and their overseas advisers to develop conceptually strong plans for health sector reform that appeal to governments, donors, and academics. Transforming these plans into successful action has proved to be extremely difficult. Toward the goal of improving assistance to this sector, the Economic Development Institute (EDI) of the World Bank held a seminar in Ashgabat, Turkmenistan in June 1996. This publication provides a summary of the proceedings and papers presented at that seminar. It was attended by delegations from five countries in Central Asia and from Azerbaijan and Mongolia. The content of this volume emphasizes topics central to the restructuring of health sector financing and health care delivery systems at a time of transition to market economies and to democracy. Maintaining and improving the health status of the population while preventing rapid escalation of health care expenditure were the recurrent themes throughout the seminar.

Author : Jeni Klugman,George Schieber,Timothy E. Heleniak
Publisher : World Bank Publications
Page : 72 pages
File Size : 44,5 Mb
Release : 1996-01-01
Category : Medical
ISBN : 0821338048

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A Survey of Health Reform in Central Asia by Jeni Klugman,George Schieber,Timothy E. Heleniak Pdf

World Bank Technical Paper No. 352. Six years into the transition from planned to market economies in Central and Eastern Europe, high unemployment rates, including a growing proportion of the long-term unemployed, represent a serious challenge to social welfare systems and policymakers. This paper analyzes labor market development in nine transition countries of the region by focusing on the dynamics of labor force behavior, employment, and unemployment. The countries include Bulgaria, Croatia, the Czech Republic, the Former Yugoslav Republic of Macedonia, Hungary, Poland, Romania, the Slovak Republic, and Slovenia.

Author : Elke Jakubowski,Albena Arnaudova
Publisher : Euro Publication
Page : 0 pages
File Size : 47,9 Mb
Release : 2009
Category : Business & Economics
ISBN : 9289041692

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10 Health Questions about the Caucasus and Central Asia by Elke Jakubowski,Albena Arnaudova Pdf

This book highlights the essentials of health and health systems in Armenia, Azerbaijan, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan. It then compares these national data with the average data for three groups: their own, the 15 countries that were members of the EU before 1 May 2004 and the 27 current EU Member States. Each chapter provides a concise overview of key health indicators in 1 of the 8 countries, summarizes the key features of the country's health system and describes the results of over a decade of health system reform. This popular series offers a quick and easy way to grasp the health essentials in a visually attractive format. Comparisons are a compelling source of information that policy-makers and stakeholders, both within countries and internationally, can use to take action against health disparities and alleviate the striking differences in health status among citizens across the WHO European Region.

Author : Owen Smith,Son Nam Nguyen
Publisher : World Bank Publications
Page : 214 pages
File Size : 44,7 Mb
Release : 2013-06-10
Category : Medical
ISBN : 9780821398845

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Getting Better by Owen Smith,Son Nam Nguyen Pdf

Fifty years ago, health outcomes in the countries of Eastern Europe and Central Asia were not far behind those in Western Europe and well ahead of most other regions of the world. But progress since then has been slow. While life expectancy in the ECA region today is close to the global average, the gap with its western neighbors has doubled, and other middle-income regions have all surpassed ECA. Some countries in the region are doing better, but full convergence with the world’s most advanced health systems is still a long way off. At the same time, survey evidence suggests that the health sector is the top priority for additional investment among populations across the region. The experience of high-income countries also suggests that popular demand for strong and accessible health systems will only grow over time. Yet these aspirations must be reconciled with current fiscal realities. In brief, health sector issues are a challenge here to stay for policy-makers across the ECA region. This report draws on new evidence to explore the development challenge facing health sectors in ECA, and highlights three key agendas to help policy-makers seeking to achieve more rapid convergence with the world’s best performing health systems. The first is the health agenda, where the task is to strengthen public health and primary care interventions to help launch the “cardiovascular revolution” that has taken place in the West in recent decades. The second is the financing agenda, in which growing demand for medical care must be satisfied without imposing undue burden on households or government budgets. The third agenda relates to broader institutional arrangements. Here there are some key reform ingredients common to most advanced health systems that are still missing in many ECA countries. A common theme in each of these three agendas is the emphasis on improving outcomes, or “Getting Better”.

Author : Maureen A. Lewis
Publisher : World Bank Publications
Page : 44 pages
File Size : 55,6 Mb
Release : 2000-01-01
Category : Health & Fitness
ISBN : 082134806X

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Who is Paying for Health Care in Eastern Europe and Central Asia? by Maureen A. Lewis Pdf

Informal payments in the health sector of Eastern and Central Asia are emerging as a fundamental aspect of health care financing and a serious impediment to health care reform. These informal payments, made to individuals or institutions in cash or in kind, are nearly always for services that are meant to be covered by the health care system. Such private payments to public personnel have created an informal market for health care , and are a form of corruption. This problem's roots are traced to declining revenues which have not coincided with a reduction in buildings, hospital beds and health personnel. In these circumstances informal payments compensate for lost earnings, and therefore reforms to modernise the region's health systems must compete with individuals' personal revenues. Options for addressing this problem include comprehensive anticorruption policies, downsizing of the public health system, reducing the set of services sibsidised by the state, encouraging cost sharing with those who can afford it, improving accountability, and promoting private alternatives.

Author : Asian Development Bank
Publisher : Asian Development Bank
Page : 182 pages
File Size : 53,6 Mb
Release : 2022-05-01
Category : Medical
ISBN : 9789292695217

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CAREC Health Strategy 2030 by Asian Development Bank Pdf

The CAREC Health Strategy 2030 aims to enhance health security through regional cooperation, benefiting the Central Asia Regional Economic Cooperation (CAREC) region’s population (including migrants and vulnerable population groups), health system managers and workers, and active development partners; and CAREC countries’ ministries of health. The strategy has four main pillars: (i) leadership and human resource capacity, (ii) technical preparedness, (iii) surge demands and access to supplies, and (iv) vulnerable population groups and border health. It is intended as a tool to guide CAREC health cooperation, dialogue and knowledge exchange, programming and mobilize new project financing.

Author : Verdon S. Staines
Publisher : World Bank Publications
Page : 98 pages
File Size : 49,6 Mb
Release : 1999-01-01
Category : Medical
ISBN : 0821344811

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A Health Sector Strategy for the Europe and Central Asia Region by Verdon S. Staines Pdf

The health systems inherited by transition countries of Europe and Central Asia (ECA) are changing in response to fundamental and unprecedented challenges. Although the desired shape of future health systems in many ECA countries is discernible, the process for getting there must be invented along the way. 'A Health Sector Strategy for the Europe and Central Asia Region' reviews substantive issues facing health policymakers in ECA. It summarizes the World Bank's experience so far in this arena and the lessons it suggests. Furthermore, it outlines both an external strategy by which the Bank's ECA health staff could assist countries to restructure their health systems and an internal strategy by which the staff could organize their own activities to achieve this result. The publication offers those outside the Bank a basis for professional dialogue to foster constructive change in the Bank's approaches.

Author : World Bank
Publisher : World Bank Publications
Page : 72 pages
File Size : 46,8 Mb
Release : 2004
Category : Health planning
ISBN : 0821358782

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Millennium Development Goals For Health In Europe And Central Asia by World Bank Pdf

Author : Zuzana Feachem,Martin Hensher,Laura Rose
Publisher : Unknown
Page : 150 pages
File Size : 54,6 Mb
Release : 1999
Category : Health care reform
ISBN : OCLC:1132011682

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Implementing Health Sector Reform in Central Asia by Zuzana Feachem,Martin Hensher,Laura Rose Pdf

Author : Christian Aspalter,Kenny Teguh Pribadi,Robin Gauld
Publisher : Routledge
Page : 220 pages
File Size : 44,8 Mb
Release : 2017-07-14
Category : Social Science
ISBN : 9781317123125

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Health Care Systems in Developing Countries in Asia by Christian Aspalter,Kenny Teguh Pribadi,Robin Gauld Pdf

For the last two decades, major Asian economies have successfully kept their economic growth momentum going. Now, as these economies are entering a new phase of economic growth, more attention is being paid to their respective states of social development, especially the provision and the expansion of social security and, in particular, health care. Academic study of the development of health care in developing countries has been for the most part neglected by the literature, and in-depth country case studies that are directly comparable on a one-to-one basis have not yet been conducted in a systematic manner. This book volume also proposes a new stance on health policy and the health care policy paradigm, one that focuses on "saving lives" from premature death, as well as illness, accidents, misery and poverty, based on the normative theory of developmental social policy (DSP). This groundbreaking book will therefore serve as a valuable reference volume for health policy, social policy and public policy experts, social development experts, health and development economists, health sociologists, social workers, government administrators as well as other medical and health professionals and academics.

Author : Adam Leive
Publisher : International Monetary Fund
Page : 43 pages
File Size : 42,8 Mb
Release : 2010-03-01
Category : Business & Economics
ISBN : 9781451982183

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Economic Transition and Health Care Reform by Adam Leive Pdf

This paper exploits the staggered adoption of major concurrent health reforms in countries in Europe and Central Asia after 1990 to estimate their impact on public health expenditure, utilization, and avoidable deaths. While the health systems all derived from the same paradigm under central planning, they have since introduced changes to policies regarding cost-sharing, provider payment, financing, and the rationalization of hospital infrastructure. Social health insurance is predicted to increase this share, although the leads of both social health insurance and primary care fee-for-service suggest endogeneity may be an issue with the outpatient share regressions. Provider payment reforms produce the largest impact on spending, with fee-for-service increasing spending and patient-based payment reducing it. The impact on avoidable deaths is generally negligible, but there is some evidence of improvements due to fee-for-service. Considering the corresponding relative reduction in inpatient admissions and the incentives fee-for-service provides to deliver additional services, perhaps there is an overprovision of services in the primary care setting and an underutilization of more specialized hospital services.

Author : Marc Suhrcke,Lorenzo Rocco,Martin McKee
Publisher : European Observatory
Page : 249 pages
File Size : 48,8 Mb
Release : 2007-01-01
Category : Asia, Central
ISBN : 9289072822

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Health by Marc Suhrcke,Lorenzo Rocco,Martin McKee Pdf

This report is the first comprehensive effort to analyse the economic impact of ill health in the CEE-CIS (Central and Eastern Europe and the Commonwealth of Independent States) Region. This book explores the interdependence of health and economic development, focusing on the Region's significant economic burden of ill health.

Author : Jean-François Caron,Hélène Thibault
Publisher : Springer Nature
Page : 185 pages
File Size : 54,9 Mb
Release : 2022-01-19
Category : Political Science
ISBN : 9789811675867

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Central Asia and the Covid-19 Pandemic by Jean-François Caron,Hélène Thibault Pdf

This book aims at shedding light on the reasons why the death rates during the pandemic were so high in Central Asia. More specifically, this book proposes analysis on why individuals did not follow the sanitary rules imposed by their respective government and on the role played by misinformation. Secondly, it also examines the impact of Sinophobia in Central Asia and the future challenges this feeling may pose on the authorities in the near future. Lastly, this book also proposes analysis of how the pandemic has contributed to show the inherent vulnerabilities of Kazakhstan and Kyrgyzstan by focusing on their immediate and future political consequences.

Author : Ronald W. O'Connor
Publisher : University Press of America
Page : 316 pages
File Size : 55,9 Mb
Release : 1994
Category : Afghanistan
ISBN : 081919445X

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Health Care in Muslim Asia by Ronald W. O'Connor Pdf

Afghanistan had the world's highest rates of infant, child, and maternal deaths when Management Sciences for Health began its project to train and support health workers. This book uses that project to discuss the problems and potential for health development in remote, war-torn areas. The field team's efforts provide insight into such problems as coordination among donors of foreign aid and strategies for immunization and family planning. The book analyzes in detail broader issues of health care development such as the management of health systems in times of disorder; the politics of international assistance; and women's access to health services in Islamic societies. Contributors: Laurence Laumonier-Ickx, Paul Ickx, Ronald W. O'Connor, William Oldham, John W. LeSar, Richard Johnson, Jonathan D. Quick, S.M. Amin Fatimie, Peter J. Huff-Rousselle, Linda Tawfik, Vimal Dias, and Mary Gasper. ro-published with Management Sciences for Health.