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.
- Public Health and Pharmaceutical Industry: making the Indian generic pharmaceutical industry vibrant
- Research and Information System for Developing Countries, 2012
- Reducing the disease burden of its population has emerged as a major development challenge for several developing countries like India. In most of these countries, medicines play a significant role in the health programmes since they ...
- Valuing and compensating caregivers for their contributions to community health and development in the context of HIV and AIDS: an agenda for action
- S. Hayes / Huairou Commission, 2010
- This paper concerns the valuation and compensation of caregivers for their ongoing contribution to community health and development in the context of HIV and AIDS. The report represents an agenda for action, and is based upon the resu...
- Home-Based Care Alliance policy brief: debunking myths
- Home-Based Care Alliance, 2013
- The Home-Based Care Alliance (HBCA) represents more than 30,000 caregivers organised into multi-district HBCAs in twelve African countries, caring for over 200,000 neighbours and friends, and with a history of organising around HIV/AI...
- Pro-social preferences and self-selection into rural jobs: evidence from South African nurses
- M. Lagarde; D. Blaauw / Resilient and Responsive Health Systems, 2013
- Governments frequently struggle to recruit and retain qualified staff to work in rural areas which often have more difficult working conditions, fewer educational opportunities and limited access to basic services. Although a growing ...
- Observatory of Maternal Mortality in Mexico: a civil society-led initiative
- C. Toledo; C. Gruenberg / Evidence and Lessons from Latin America, 2013
- Within just 3 years of its creation, the Observatory of Maternal Mortality in Mexico is already making some important contributions to reducing maternal mortality. mproving access to reliable information for understanding a...
- 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 ...