Sustaining Primary Health CareAnalyzing 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. |
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Contents
Contextual Hostility | |
The Quality of Investment | |
Investment Patterns And Effects | |
Linking Investment and Sustainability | |
Notes and references | |
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activities agencies allocation approach assistance base basic become budget building bureaucracy capacity capita cent central Children Fund constraints continuity contribution coverage decline demand depends determined developing countries direct district donors economic effectiveness example existing expenditure external facilities Figure financing function funds Ghana goals groups growth health expenditure health ministries health officials health sector health services health system development immunization implementation important improve increase indicators influence institutions interest internal interventions investment in health less limited London long-term major meet Moreover needs Nepal officials operational Pakistan patterns period planning political poor practice presented pressure primary health problem programmes projects recurrent costs reflect reform reported requires responsibility role Save the Children secure spending staff stakeholders strategies structures sustainability Uganda Vietnam