World Health Organization : Year 1996 ; World Health Organization, Strengthening of Health Service, Current Concerns, No. 96.1: Reform of the Health Sector in Ghana and Zambia ; Commonalities and Contrasts

By Katja Janovsky, Dr.

Book Id: WPLBN0000139420
Format Type: PDF eBook:
File Size: 0.9 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1996 ; World Health Organization, Strengthening of Health Service, Current Concerns, No. 96.1: Reform of the Health Sector in Ghana and Zambia ; Commonalities and Contrasts
Author:	Katja Janovsky, Dr.
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Janovsky, Dr, B. K. (n.d.). World Health Organization : Year 1996 ; World Health Organization, Strengthening of Health Service, Current Concerns, No. 96.1. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Introduction Health sector reform is gaining currency as a term to dcscribe a wide range of changcs that are being implemented by governments in both developed and developing countries. In developing countries, it is in danger of becoming thc ncw orthodoxy and subject to thc formulaic approach to health development policy which characterised the Primary Health Care rnoveinent in the 1980s. This short paper reviews the experience of two African countries, both of which are widely perceived to have made significant progress in health rcform. It illustrates that while overall policy objectives may be similar, thc context, process, strategy and timing of reform initiatives can differ significantly. In particular, we argue that political factors provide the most powerful impetus for the adoption of a reform agenda, and exert considerable influence over the implementation of change. The paper also provides an opportunity to briefly comment on relevant trends and gaps in the international literature.

Table of Contents
Table of Contents Introduction......................................................................................1 Economic and political context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 The public agenda for health sector reform . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Ernpowering dlstncts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Deccntralisation and the role of local government . . . . . . . . . . . . . . . . . . . . . . . 3 Relationships with the civil servicc and the role of civil service reform . . . . . . . . . 5 Health financing reform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Resource allocation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 lndependcnt hospital boards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Relationships with the privatc sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 The role of donors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Ghana and Zambia in the international context . . . . . . . . . . . . . . . . . . . . . . . . 13 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Acknowledge~iients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Refcre~ices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17