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Publications

Filtering by Tag: Henry Lucas

Exploring new health markets: experiences from informal providers of transport for maternal health services in Eastern Uganda

Future Health Systems

Although a number of intermediate transport initiatives have been used in some developing countries, available evidence reveals a dearth of local knowledge on the effect of these rural informal transport mechanisms on access to maternal health care services, the cost of implementing such schemes and their scalability. This paper, attempts to provide insights into the functioning of the informal transport markets in facilitating access to maternal health care. It also demonstrates the role that higher institutions of learning can play in designing projects that can increase the utilization of maternal health services.
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Making health markets work better for poor people: the case of informal providers

Future Health Systems

There has been a dramatic spread of market relationships in many low- and middle-income countries. This spread has been much faster than the development of the institutional arrangements to influence the performance of health service providers. This paper applies lessons from this experience to the issue of informal providers, drawing on the findings of studies in Bangladesh and Nigeria.
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WP7 - Provider performance and information and communication technologies

Future Health Systems

There has been much discussion of the role that recent advances in information and communication technologies (ICTs) can play in improving health provider performance, though as yet there seems to be little reliable, independently verified evidence to support the claims of those who initially viewed the new ICTs as offering ―a revolution in global healthcare management‖ (Séror 2001, p. 1). In particular, limited systematic attention has been given to the application of ICTs by private providers in developing countries, with most of the international agencies concerned with these issues tending to focus on large-scale public sector innovations (e.g., Chetley 2006; WHO 2006).
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WP6 - Making health markets work better for poor people: Improving provider performance

Future Health Systems

Much analysis of health care markets draws heavily on the experiences of the advanced market economies where there is a much clearer demarcation of the roles of, and boundaries between, the public and private sectors in delivering services. This has led to a tendency to seek models for ―working with the private sector‖ from these countries, without taking sufficient account of their strong institutional and regulatory arrangements for both market and non-market services (Bloom and Standing 2008). This paper argues for a different approach to policy formulation that bases the assessment of the likely outcome of different reform options on a closer understanding of the realities of the markets that have emerged in developing and transitional economies.
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Changes in utilization of health services among poor and rural residents in Uganda: are reforms benefitting the poor?

Future Health Systems

Uganda implemented health sector reforms to make services more accessible to the population. An assessment of the likely impact of these reforms is important for informing policy. This paper describes the changes in utilization of health services that occurred among the poor and those in rural areas between 2002/3 and 2005/6 and associated factors.
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Determinants of the use of different types of health care provider in urban China: a tracer illness study of URTI

Future Health Systems

Using data from the fourth China National Health Services Survey (NHSS) that was conducted in 2008, the authors conducted a tracer illness study of urban people with acute upper respiratory tract infections (URTI) to examine the factors that affect their use of different outpatient health care providers.
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Ensuring health care for the rural poor: Social aims and commercial means in Vietnam and China

Future Health Systems

China and Vietnam have adopted market reforms in the health sector in the context of market economic reforms. Vietnam has developed a large private health sector, while in China commercialization has occurred mainly in the formal public sector, where user fees are now the main source of facility finance.
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Health markets and future health systems: innovation for equity

Future Health Systems

If health services are to benefit the poor, it is essential to gain a detailed understanding of such markets that can both inform attitudes towards them and guide innovations that attempt to engage with them to improve health outcomes.
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