Health service delivery in fragile states for US$5 per person per year: myth or reality

Health service delivery in fragile states for US$5 per person per year: myth or reality

Strengthening health service delivery in fragile states

This report highlights the findings from a conference on health service delivery in fragile states that took place in October 2007, organised by Merlin and the London School of Hygiene and Tropical Medicine. The conference aimed to improve understanding about how health service delivery can be strengthened in fragile states, and to examine how realistic it is to expect that basic health services can be delivered for US$ 5 per person per day. It covered several themes including: an examination of the cost of basic health packages; the amount of development aid for health available; and the use of service delivery innovations such as contracting and performance based financing.

A key conclusion was the recognition that US$ 5 per person per year may be a reality in terms of the amount of funds actually available to provide health services in many countries. However, it is a myth that this amount of money can do more than cover partial primary health care service delivery. Financing for health systems needs to be more substantial, especially in countries where health systems have been degraded as a result of war or political neglect.

  1. How good is this research?

    Assessing the quality of research can be a tricky business. This blog from our editor offers some tools and tips.