Sustaining Primary Health CareEarthscan, 1995 - 218 pages Analyzing the dimensions of the struggle for effective health care in the developing countries, this study demonstrates how current governmental and donor agency policies in such countries as Uganda, Ghana, Nepal, Pakistan and Vietnam have failed to develop efficient systems. The author argues against the current emphasis on decentralization and privatization, and outlines a framework for a long-term approach that should bring benefits and improvements in health care. |
Contents
List of tables and figures 7 | 8 |
Introduction What is sustainability? | 15 |
The sustainability problem | 23 |
Contextual hostility | 39 |
The quality of investment | 99 |
Linking investment and sustainability | 163 |
Notes and references | 197 |
Further reading | 209 |
Other editions - View all
Common terms and phrases
Alma Ata Declaration approach to investment basic health capacity building capita central Child Survival Children Fund Constraints to Health coverage decentralization decision-making decline delivery developing countries district doi moi donor agencies donor investment donors and governments economic effectiveness example expenditure on health Ghana goals government expenditure governments and donors growth health activities health bureaucracy health expenditure Health Financing health ministries health needs health officials health sector health services health spending health system development immunization implementation improve increase influence internal interventions investment in health investment practice investment process investors London long-term ment ministry of health Nepal operational Pakistan patterns planning political poorest countries primary health primary health care priorities problem projects recurrent budget recurrent costs recurrent support reform resource management role Save the Children SDHS short-term Smithson P 1993 stakeholders strategies structures study countries Uganda UNICEF USAID vertical programmes Vietnam World Bank