Public sector reform
Public health services are strongly influenced by the government administrative systems within which they are situated. Many countries are reforming their public sectors.
These reforms include changes to the number of public sector workers and their terms and conditions of employment, decentralisation of many functions to local governments and the creation of new kinds of relationships between the public and private sectors. It is important to understand the likely impact of these reforms on health systems.
- Decentralisation in Asian health sectors: friend or foe?
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This policy brief examines whether or not healthcare decentralisation in Asia has been successful. The report draws on examples from China, Indonesia, India, and the Philippines. The brief highlights several lessons learned from the decentralisation programmes of these countries.
Recommended readings
- Rethinking decentralisation in developing countries
- ( J. Litvack; J. Ahmad; R. Bird / World Bank , 1998)
- Is decentralisation good or bad for efficiency, equity and macroeconomic stability? This paper, written for the World Bank by the Public Sector Group and the Decentralisation Thematic Group in the Pov...
- Decentralization and human resources: implications and impact
- ( R-L. Kolehmainen-Aitken / Management Sciences for Health , 1998)
- What issues arise when considering human resources and health sector decentralisation programs in developing countries? This paper, published in Human Resources for health Development Journal, written...
Latest Additions
- Diagonal financing of health systems offers an alternative to the current flawed vertical and horizontal processes
- ( G Ooms;W Van Damme;B Baker / Globalization and Health , 2008)
- This paper published in Globalization and Health looks at the potentially destructive polarisation between 'vertical' financing (aiming for disease-specific results) and 'horizontal' financing (aiming...
- Cote d’Ivoire faces a dramatic shortage of health workers
- ( Health Systems 20/20 , 2008)
- Cote d'Ivoire has a shortage of health workers in the health system. According to the World Health Organization there is approximately one nurse for every 1,666 inhabitants. This paper describes the H...
- Countries are not opting to use AIDS funds in ways that strengthen their whole health system
- ( C. Connor / Health Systems 20/20 , 2008)
- This article from Health Systems 20/20 summarises four sessions from the Mexico 2008 AIDS conference that look at how the AIDS response is affecting country health systems. It describes presentations ...
