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Global Politics of Health Reform in Africa by Amy Barnes,G. Brown,S. Harman Pdf
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.
Author : Bruce Siegel,David Peters,Sheku G. Kamara Publisher : World Bank Publications Page : 54 pages File Size : 54,9 Mb Release : 1996-01-01 Category : Medical ISBN : 0821338250
Health Reform in Africa by Bruce Siegel,David Peters,Sheku G. Kamara Pdf
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.
Governing Health Systems in Africa by Martyn Sama,Vinh-Kim Nguyen Pdf
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.
Health Reforms Across The World: The Experience Of Twelve Small And Medium-sized Nations With Changing Their Healthcare Systems by Kieke G Okma,Tim Tenbensel,Luca Crivelli Pdf
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.
Primary Health Care In Africa by Clive Gray,Jacques Baudouy,Kelsey Martin,Molly Bang Pdf
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
Author : Peter A. Berman Publisher : Harvard Center for Population and Development Studies Page : 436 pages File Size : 53,8 Mb Release : 1995 Category : Business & Economics ISBN : STANFORD:36105017522322
Health Sector Reform in Developing Countries by Peter A. Berman Pdf
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.
Cost Recovery in Public Health Services in Sub-Saharan Africa by Brian Nolan,Vincent Turbat Pdf
This report describes and evaluates the ways in which user-fees are currently implemented to finance public health services in Sub- Saharan Africa. It presents the main issues that arise in assessing cost recovery through user fees and evaluates experiences to date. The authors highlight variety of practices encountered in different countries, the too common failure to structure charges so as to promote efficient use, and the lack of effective exemption structures for protecting the poor. The study thoroughly reviews standard cost recovery models and describes an initiative launched in Bamako, Mali, in 1987. Issues, experience, and conclusions are drawn from a sample of 38 countries.
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.
Universal Health Care in Southern Africa by Greg Ruiters,Robert Van Niekerk Pdf
The growth in private health care for the middle classes has resulted in deeply segregated and unequal health care, with poor people being relegated to under-resourced and unresponsive public systems, and wealthy minorities receiving world-class treatment at very high prices. - from the Introduction *** This book examines the scope for health care reform in South Africa and Zimbabwe. Both countries are undergoing significant attempts at reforming inequitable, private sector-dominated, health care systems in the context of fragile, negotiated, social settlements. In South Africa, the government is moving towards introducing a national health insurance scheme that holds the historic promise of introducing social solidarity and effective health care for all its citizens. However, key aspects of the proposed scheme remain unresolved and need to be widely debated. In Zimbabwe, mandatory national health insurance has been discussed for decades without any conclusion being reached or a system implemented. This option needs to be revisited as the economy stabilizes and confidence in governance improves. Based on extensive research, the contributors to this volume examine health care reform in historical context, analyze the views of key stakeholders, and reflect on current proposals for better health financing and more people-centered health systems, based on the principles of universality and social solidarity. Universal Health in Southern Africa is essential reading for academics, health professionals, and policy makers concerned with the historical, ideological, and institutional background to the current policy debate on the commercialization of health care and proposed alternatives, such as a national health system.
Philip C. Aka,Hassan Wahab,Yvette M. Alex-Assensoh
Author : Philip C. Aka,Hassan Wahab,Yvette M. Alex-Assensoh Publisher : Taylor & Francis Page : 98 pages File Size : 46,6 Mb Release : 2022-04-27 Category : Business & Economics ISBN : 9781000580686
The Political Economy of Universal Healthcare in Africa by Philip C. Aka,Hassan Wahab,Yvette M. Alex-Assensoh Pdf
The global rise in pandemics, most recently COVID-19, and other health challenges, some of which are due to climate change, have imposed significant challenges on the healthcare systems in economies around the world. Thus, this book deals with an issue that is very timely and relevant, not just in Africa but globally. It critically assesses healthcare reforms in Ghana under the Fourth Republic, since 1993. Although it focuses on Ghana’s National Health Insurance Scheme of 2003, the book instructively goes beyond this program. The book argues that, although Ghana is a bellwether of healthcare reforms in Africa, its healthcare initiatives are still far from the service haven of healthcare as a human right. Themes that animate the book’s argument include the need to translate human rights law, such as the right to health, into practical policies that work for ordinary citizens. Key highlights of the book include an increased accent on health as a human right, emphasis on comparative analysis in healthcare studies, and the formulation of a four-hallmark framework, embedded in economics, law, politics, and human rights, to act as a guide for assessment of healthcare reforms in Africa in particular, and Ghana more specifically. Using Ghana as a case study and analytical window into the world, the book offers a valuable and timely resource for academics, students and policymakers across the disciplines of development and healthcare economics, law, public policy, political science, sociology, and African and Caribbean studies, as well as in various fields in health science.
H. C. J. Van Rensburg,Annalize Fourie,Engela Pretorius
Author : H. C. J. Van Rensburg,Annalize Fourie,Engela Pretorius Publisher : Unknown Page : 468 pages File Size : 50,7 Mb Release : 1992 Category : Health care reform ISBN : UVA:X002310727
Your Pocket Is What Cures You by Ellen E Foley Pdf
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.
Balancing Public and Private Health Care Systems by Randolph Quaye Pdf
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. Book jacket.
