Improving Health Service Delivery in Developing Countries

From Evidence to Action

Author: David H. Peters

Publisher: World Bank Publications

ISBN: 0821379437

Category: Medical

Page: 338

View: 6450

Reliable information on how health service strategies affect the poor is in short supply. In an attempt to redress the imbalance, 'Improving Health Service Delivery in Developing Countries' presents evidence on strategies for strengthening health service delivery, based on systematic reviews of the literature, quantitative and qualitative analyses of existing data, and seven country case studies. The authors also explore how changes in coverage of different health services affect each other on the national level. Finally, the authors explain why setting international targets for health services has been not been successful and offer an alternative approach based on a specific country's experience.The book's findings are clear and hopeful: There are many ways to improve health services. Measuring change and using information to guide decisions and inform stakeholders are critically important for successful implementation. Asking difficult questions, using information intelligently, and involving key stakeholders and institutions are central to the "learning and doing" practices that underlie successful health service delivery.

Empowering Resilience

Improving Health Care Delivery in War-impacted African Countries : a Case Study of Liberia

Author: Aaron G. Buseh

Publisher: University Press of America

ISBN: 9780761838968

Category: Business & Economics

Page: 279

View: 2916

Empowering Resilience addresses a critical area of concern for all individuals, governments, and non-government organizations involved in international peace building and economic development: the rebuilding of health care systems in countries emerging from civil conflict. Professor Aaron G. Buseh sets a broad context for improving health care delivery in war-impacted African countries by presenting a clear and concise historical overview of Liberia, including it's political, economic, and cultural factors that led to social upheaval. Through understanding the organization, financing, and delivery of health care in Liberia, readers will be able to appreciate the analysis of the pre-war root causes of the civil conflict and a poorly functional pre-war health care system that Buseh effectively investigates. With a convincing argument, Buseh offers a strategic vision for reforming and reorganizing Liberia's health care system. A book that breaches many concerns steadily rising in today's society, Empowering Resilience is devoted to contributing to political stability by capitalizing on the resilience of the Liberian people who endured the civil conflict.

Innovations in Health Service Delivery

The Corporatization of Public Hospitals

Author: Alexander S. Preker,April Harding

Publisher: World Bank Publications

ISBN: 9780821344941

Category: Medical

Page: 618

View: 2159

As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.

Organisational Capacity Building in Health Systems

Author: Niyi Awofeso

Publisher: Routledge

ISBN: 0415521793

Category: Medical

Page: 286

View: 9610

Capacity building – which focuses on understanding the obstacles that prevent organisations from realising their goals, while promoting those features that help them to achieve measurable and sustainable results – is vital to improve the delivery of health care in both developed and developing countries. Organisations are important structural building blocks of health systems because they provide platforms for delivery of curative and preventive health services, and facilitate health workforce financing and functions. Organisational capacity building involves more than training and equipment and this book discusses management capacity to restructure systems, structures and roles strategically to optimise organisational performance in healthcare. Examining the topic in a practical and comprehensive way, Organisational Capacity Building in Health Systems is divided into five parts, looking at: What health organisations are and do Management and leadership in health organisations How to build capacity in health systems Building capacity in a range of health system contexts Dealing with challenges in building capacity and evaluating work Looking at how to effectively design, implement and evaluate organisational capacity building initiatives, this book is ideal for public health, health promotion and health management researchers, students and practitioners.

Improving Newborn Infant Health in Developing Countries

Author: Anthony Costello,Dharma Manandhar

Publisher: World Scientific

ISBN: 1783262397

Category: Medical

Page: 608

View: 2462

Until recently policy makers and health professionals in developing countries have neglected newborn care, even though 70% of infant deaths occur during the first month of life. The principles of essential newborn care are simple: resuscitation, warmth to avoid hypothermia, early breast-feeding, hygiene, support for the mother-infant relationship, and early treatment for low birth weight or sick infants. Putting these principles into practice does not require expensive high technology equipment. This important book has been written by experts in newborn care, mostly from developing countries in south Asia. It contains a review of the current health status of mothers and newborn infants in the developing world, the evidence base for cost-effective essential and preventive neonatal interventions in poor communities, ideas for improving service delivery, and the priorities for future action and research. Contents:Current Status of Newborn Infants and Perinatal Health in South AsiaSocial, Economic and Cultural Aspects of Motherhood in South AsiaCost-Effective Essential Newborn Care in Poor Communities: The Evidence-BaseImproving Health Service DeliveryChallenges for Future Policy Implementation and Research Readership: Paediatricians, obstetricians, development workers, and tropical medicine and public health specialists. Keywords:Developing Countries;Asphyxia;Low Birth Weight;Neonates;Neurodevelopmental Morbidity and Outcome;High Risk Follow Up;Growth and Cognitive Outcome;Achievements-Social and School;Perinatal Health Indicators;Causes of Mortality;Nutritional Care of the Newborns;Breastfeedng Practices;Maternal Care Indicators;Contraceptive Use;Health Care Services and Utilization of Health Care Services;Pakistan;Newborn Health;Safe Motherhood;Lowcost Newborn Care;Newborn Problems;Perinatal mortality;Infection and Perinatal Period;Neonatal Sepsis;KMCReviews:“It makes enjoyable and interesting reading and is an excellent educational source, a must for anyone intending to be involved with newborn health in South Asia.”Transactions of the Royal Society of Tropical Medicine and Hygiene

Health Sector Reform in Developing Countries

Making Health Development Sustainable

Author: Peter A. Berman

Publisher: Harvard Center for Population and Development Studies


Category: Medical

Page: 418

View: 3237

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.

Establishing Private Health Care Facilities in Developing Countries

A Guide for Medical Entrepreneurs

Author: Seung-Hee Nah,Egbe Osifo-Dawodu

Publisher: World Bank Publications

ISBN: 0821369482

Category: Medical

Page: 232

View: 2508

This book is a practical guide for medical professionals with little or no business experience who are interested in establishing health care facilities in developing countries. It is an introduction to the kinds of basic research and planning required to identify viable solutions and reduce the risk of failure.

Public Health

An Action Guide to Improving Health

Author: John Walley,John Wright

Publisher: Oxford University Press

ISBN: 0199238936

Category: Medical

Page: 356

View: 4112

This is an action guide to improving public/community health in low-income countries, providing comprehensive coverage within the public health framework.

Tackling Noncommunicable Diseases in Bangladesh

Now Is the Time

Author: Sameh El-Saharty,Karar Zunaid Ahsan,Tarcey L. P. Koehlmoos,Michael M. Engelgau

Publisher: World Bank Publications

ISBN: 0821399217

Category: Medical

Page: 136

View: 2990

With increased life expectancy, declining fertility, and sustained economic growth, the disease burden in Bangladesh has shifted from infectious to noncommunicable diseases (NCDs). The policy options and strategic priorities to tackle NCDs are via multisectoral interventions, preventive, and treatment services.

Improving Primary Health Care Delivery in Nigeria

Evidence from Four States

Author: World Bank

Publisher: World Bank Publications

ISBN: 9780821383131

Category: Business & Economics

Page: 120

View: 7995

This paper, based on quantitative surveys at the level of primary health care facilities, health care personnel, and households in their vicinity, aims at understanding the performance of primary health care providers in four states in Nigeria. As possible ways to improve performance, the paper concludes that clearly defining lines of responsibility, implementing performance-based financing of local governments and providers, and collecting, analyzing, and sharing information are some options that can help realign incentives and improve accountability in the service delivery chain and service provision. This working paper was produced as part of the World Bank s Africa Region Health Systems for Outcomes (HSO) Program. The Program, funded by the World Bank, the Government of Norway, the Government of the United Kingdom, and the Global Alliance for Vaccines and Immunization (GAVI), focuses on strengthening health systems in Africa to reach the poor and achieve tangible results related to Health, Nutrition, and Population. The main pillars and focus of the program center on knowledge and capacity building related to Human Resources for Health, Health Financing, Pharma-ceuticals, Governance and Service Delivery, and Infrastructure and ICT.

Performance-based Contracting for Health Services in Developing Countries

A Toolkit

Author: Benjamin Loevinsohn

Publisher: World Bank Publications

ISBN: 0821375377

Category: Medical

Page: 202

View: 6935

Despite the existence of effective interventions, there are many developing countries which are not on track to achieve the Millennium Development Goals (MDGs) for health. In many countries the delivery of health services is inadequate and one way of improving the situation is to contract with non-state providers. Contracting is a mechanism for a financing entity to procure a defined set of services from a non-state provider. Performance-based contracting is a type of contracting with: (a) a clear set of objectives and indicators; (b) systematic efforts to collect data to judge contractor performance; and (c) some consequences for the contractor, either rewards or sanctions, based on performance. Effective contracting for health services can be facilitated by using a systematic approach, described in this toolkit, that addresses key issues, including how to: 1. have a constructive dialogue with all stakeholders; 2. define the health services in terms of what services are to be delivered, where, the quantity of beneficiaries to be served, equity, and quality of care; 3. design the monitoring and evaluation to judge the performance of contractors; 4. select the contractors in a fair and transparent way; 5. arrange for effective contract management; 6. draft the contract and bidding documents; and 7. carry out the bidding process and successfully manage the contracts. The toolkit also includes a review of 14 evaluated examples of contracting in developing countries which concludes that the current weight of evidence indicates that contracting improves the coverage and quality of services rapidly. The six cases with controlled, before and after evaluations demonstrated large impact with themedian double difference (follow-up minus baseline in the experimental group minus follow-up minus baseline in the control) ranging from 9 to 26 percentage points.

A Business Perspective on Industry and Health Care

Author: W. B. Goldbeck

Publisher: Springer Science & Business Media

ISBN: 1461262704

Category: Medical

Page: 70

View: 2139

The Springer Series on Industry and Health Care is intended to character ize present and future ways in which industry can influence the nation's health care system in the direction of greater efficiency and effectiveness. Its potential audience includes nearly everyone interested in health care because the sys tem's future configuration is now being influenced by corporate health pro grams and the involvement of individual corporate leaders in health affairs. The first volume of the Springer Series provided a broad background on industry as a payer, provider, and consumer of health services. Unlike volumes planned for the future, it did not single out any particular aspect of corporate activity in health but rather identified and catalogued the many new involve ments of industry, both management and labor, in the health care scene. This, the second volume in the series, is designed to complement the first and to complete the process of laying the groundwork for the series as a whole. Volume two covers the same vista as volume one, but paints with a broader brush. It seemed to us, as editors of the series and authors of volume one, that the academic and somewhat distant overview we provided could be rounded out in a second volume by someone with a more immediate and practical perspective on industry's involvement in health care.

Perspectives of Knowledge Management in Urban Health

Author: Michael Christopher Gibbons,Rajeev Bali,Nilmini Wickramasinghe

Publisher: Springer Science & Business Media

ISBN: 9781441956446

Category: Medical

Page: 220

View: 490

It is a tragic paradox of American health care: a system renowned for world-class doctors, the latest medical technologies, and miraculous treatments has shocking inadequacies when it comes to the health of the urban poor. Urban Health Knowledge Management outlines bold, workable strategies for addressing this disparity and eliminating the “knowledge islands” that so often disrupt effective service delivery. The book offers a wide-reaching global framework for organizational competence leading to improved care quality and outcomes for traditionally underserved clients in diverse, challenging settings. Its contributors understand the issues fluently, imparting both macro and micro concepts of KM with clear rationales and real-world examples as they: • Analyze key aspects of KM and explains their applicability to urban health. • Introduce the KM tools and technologies most relevant to health care delivery. • Offer evidence of the role of KM in improving clinical efficacy and executive decision-making. • Provide extended case examples of KM-based programs used in Washington, D.C. (child health), South Africa (HIV/AIDS), and Australia (health inequities). • Apply KM principles to urban health needs in developing countries. • Discuss new approaches to managing, evaluating, and improving delivery systems in the book’s “Measures and Metrics” section. Urban health professionals, as well as health care executives and administrators, will find Urban Health Knowledge Management a significant resource for bringing service delivery up to speed at a time of great advancement and change.

Spending Wisely

Buying Health Services for the Poor

Author: Alexander S. Preker,Jack Langenbrunner

Publisher: World Bank Publications

ISBN: 9780821359181

Category: Health & Fitness

Page: 413

View: 5435

This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing and contracting of services from non-governmental providers. It is divided into six sections under the headings of: the conceptual framework; how to make strategic purchasing pro-poor; purchasing health services; purchasing inputs; supply, demand and markets; legal and regulatory issues.

Improving Health Sector Performance

Institutions, Motivations and Incentives : the Cambodia Dialogue

Author: Hossein Jalilian,Vicheth Sen

Publisher: Institute of Southeast Asian

ISBN: 9814345520

Category: Medical

Page: 430

View: 3267

There is growing international evidence that the effectiveness of health services stems primarily from the extent to which the incentives facing providers and consumers are aligned with "better health" objectives. Efficiency in health service provision requires that providers and consumers have incentives to use healthcare resources in ways that generate the maximum health gains. Equity in at least one sense requires that consumers requiring the same care are treated equally, irrespective of their ability to pay. Efficiency in the use of health services requires that consumers are knowledgeable about the services on offer and which are most appropriate to their needs. Although these principles are enshrined in the design of every health system in the world, they have proven extremely difficult to apply in practice. Healthcare providers have financial obligations to their families as well as professional obligations to their patients. Health service consumers generally lack information about both their health and health services so that they under-consume or over-consume healthcare.

Health Research in Developing Countries

A Collaboration Between Burkina Faso and Germany

Author: Heiko Becher

Publisher: Springer Science & Business Media

ISBN: 9783540237969

Category: Mathematics

Page: 308

View: 4492

Health research in developing countries has many facets. On one side, malaria and AIDS as main causes of morbidity and mortality are a focus for clinical and epidemiological studies. On the other side, the need for improving the health care system in general cannot be overestimated. The book offers a survey of current and important topics of health research in developing countries. Special emphasis is placed to show that cooperation of different health research areas if of highest importance in future. In addition the CRSN (Burkina Faso) - University of Heidelberg collaboration is given as a model that allows high class research in remote areas of any developing country. An absolutely must for all who are working in clinical, epidemiological and health systems research for and in developing countries.

Managing the Quality of Health Care in Developing Countries

Author: Willy De Geyndt

Publisher: World Bank Publications

ISBN: 9780821330920

Category: Social Science

Page: 80

View: 9226

World Bank Technical Paper No. 258. Quality of health care is a complex concept interwoven with value judgments about what constitutes good quality. This lack of linearity partly explains the large number of definitions of the concept of quality an

Development and Climate Change

Author: World Bank

Publisher: World Bank Publications

ISBN: 9780821379875

Category: Business & Economics

Page: 417

View: 580

Relates climate data to a range of issues related to natural resource management, human health, and economic development, discussing strategies for managing resources for sustainable human populations and financing required adaptations due to climate change.

Jonas and Kovner's Health Care Delivery in the United States, Tenth Edition

Author: Anthony R. Kovner, PhD,James Knickman,Steven Jonas

Publisher: Springer Publishing Company

ISBN: 0826106870

Category: Medical

Page: 405

View: 7317

" This 10th edition of a classic textbook for graduate and advanced undergraduate students presents the critical issues and core challenges surrounding our health care system. Leading thinkers, educators, and practitioners provide an in-depth and objective appraisal of why and how we organize health care the way we do; the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system; and other emerging and recurrent issues in health policy, health care management, and public health. "