Health service delivery
Poor people - in both developed and developing countries - experience more ill health and shorter life spans than their richer fellow citizens. Although people's health is influenced by a wide range of socio-economic and lifestyle factors, access to high quality and affordable health care and public health services makes a critical contribution to health status.
Health services are failing poor people - with lower rates of child immunisation, skilled attendance at child birth, and TB and malaria treatment. It's also true that richer groups tend to benefit more from public sector subsidies to health care - hospitals in urban centres often receive disproportionate funds compared with primary care in poor rural areas. And in most poor countries which lack formal taxation and insurance systems, out-of-pocket payments are paid to both private and public providers, consume household income and assets, and contribute to impoverishment.
Improving service delivery to the poor involves all the major stakeholders in the health system - the policymakers in ministries of health, finance, and public administration, health service managers and workers, public and private providers and clients and communities themselves. Better access depends on a wide range of factors - on health policies, strategy and plans that prioritise health needs and set out revenue sources and resource requirements (including mechanisms to address inequalities), on motivated and properly trained and remunerated health workers, on infrastructure, drugs and equipment, on good referral links and communication, and – last but not least - on well-informed clients and their representative bodies.
- The health dimension of Asian migration to Europe - abridged report
- T. Osteria; D. Carrillo; A.V. Sarli / Asia Foundation, 2012
- What are the public health implications of Asian migration to Europe? This reort looks at a study undertaken in Madrid, Spain and Milan, Italy among Filipinos and Chinese, the two largest Asian migrant groups in those two cities...
- Maternal care is still too expensive in many Asian countries
- L. Brearley; S. Mohamed; V. Eriyagama / Asian Development Bank, 2012
- Expenditures on healthcare in Asian and Pacific countries (APCs) are widely seen as financially burdensome to household budgets and contributing to impoverishment. This review examines the evidence on maternal, neonatal, and child hea...
- More availability and affordability is required in maternal and child health services in Laos
- C. Anuranga; J. Chandrasiri; R. Wickramasinghe / Asian Development Bank, 2012
- Limited progress has been made in the past decade in reducing the high levels of maternal and child deaths in the Lao People’s Democratic Republic (Lao PDR). This paper highlights the fact that Laotian women and children are ina...
- Expanding the use of health services is critical to improving maternal health outcomes in Timor-Leste
- R. P. Rannan-Eliya; R. Hafez; C. Anuranga / Asian Development Bank, 2012
- As a young nation, Timor-Leste has made considerable advances in rebuilding its health system, but overall utilisation of health services remains low by regional standards. This paper underlines that the Timor-Leste population continu...
- Bangladeshi public maternal healthcare facilities are operating at optimal levels and further expansion is necessary
- C. Anuranga; S.D. Alwis; G. Kasthuri / Asian Development Bank, 2012
- Bangladesh has made substantial progress since the 1970s in expanding the coverage of maternal healthcare services, yet maternal mortality remains high, as available but limited data suggest. In this respect, to fill the gap need for ...
- Guidelines for improving mental health policies and services
- M. Funk (ed); M. Freeman (ed); N. Drew (ed) / World Health Organization, 2009
- This document outlines a comprehensive strategy for how to improve mental health policy and service development. It shows that lack of political support, inadequate management, overburdened health services and, at times, re...
- Task shifting is a promising option to increase the productive efficiency of the delivery of health care services
- B.D. Fulton; R.M. Scheffler; S.P. Sparkes / Human Resources for Health, 2011
- Health workforce shortages and skill imbalances are significant challenges, yet task shifting (delegating tasks to new cadres with narrowly tailored training) is a potential strategy to address these challenges. This article reviews t...
- Task shifting in Uganda: a case study
- Y.M. Dambisya; S. Matinhure / BioMed Central, 2012
- Uganda has a severe health worker shortage and a high demand for health care services; therefore, task shifting is happening in Uganda on a wide scale, at various levels of care, in many forms. This study aims to assess the policy and...
- What are the consequences of task-shifting in Mozambique and Zambia?
- P. Ferrinho; M. Sidat; F. Goma / Human Resources for Health, 2012
- The consequences of staff deficits include heavier workloads for those on duty, the closure of some services, loss of quality and hazards for health workers and managers. This paper describes the task-shifting taking place in health c...
- What are the effects of task shifting on mortality, viral suppression, and other health outcomes in South Africa?
- L. Fairall; M.O. Bachmann; C. Lombard / The Lancet, 2012
- The effectiveness of task shifting of antiretroviral therapy (ART) from doctors to other health workers needs to be evaluated. This paper assesses the effects of task shifting in terms of ART on mortality, viral suppression, and other...