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Publications

Filtering by Category: 2009

WP12: Who Are ‘Informal Health Providers’ and What Do They Do? Perspectives from Medical Anthropology

Future Health Systems

This paper explores gaps and limitations in the conceptualisation, methodology and policy implications of debates about informal health care providers by examining a cross section of empirical studies. Drawing on a tradition of critical medical anthropology, we argue that existing debates hinge on a particular understanding of what constitutes appropriate knowledge and on particular expectations of how economic actors in the medical marketplace will behave.
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WP10: Health Shock Vulnerabilities and Its Correlates Exploring the Linkages for In-patient Care Seekers in West Bengal

Future Health Systems

The objective of this working paper was to find out the correlates of health shock vulnerabilities for in-patient care seekers and understanding the process through which the impact of immediate determinants change after controlling for different basic and underlying factors in West Bengal, India.
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WP9 - Demand and Supply side barriers in Access to Childhood Immunization Services - A Case Study of Murshidabad, West Bengal

Future Health Systems

The objective of this paper is to elucidate the independent role of various demand side and supply side factors as barriers to access childhood immunization and how their impact change when both these sides are taken together, in the Mushidabad district or West Bengal, India.
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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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WP5 - Innovative service models to improve quality and access

Future Health Systems

This paper discusses the economic rationale for innovative service models in private sector health care delivery. Social franchising and other business models of health care delivery secure cooperation between providers, and coordinating agencies in order to improve quality, access, and efficiency of primary health care (PHC) in the private sector.
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FHS Nigeria Policy Brief 2 - Organizational and regulatory functions of the Nigerian Patent Medicine Vendor’s Association. How can it be used to improve malaria management?

Future Health Systems

A recent study in Nigeria by the Future Heath Systems (FHS) consortium identified patent medicine vendors (PMV) associations as having potential important roles to play in providing information, influencing PMV behaviour and procuring drugs, but the government knows very little about PMVs or their associations. As a way of bridging this gap, a team from the University of Ibadan undertook an exploratory study among the officers of Patent Medicine Vendors Association (PMVA) in Oyo State, Nigeria at the state, zonal and local government area (LGA) levels to explore the organizational and regulatory practices of the association in relation to the management of malaria, using an exploratory research design.
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Lessons from the Chinese Approach to Health System Development

Future Health Systems

China is managing major health system reforms against a background of rapid economic and institutional change. In doing so it is developing a learning approach to transition management and institution-building. This approach includes testing innovations at local level, encouraging learning from success, and then gradually building institutions that support new ways of doing things. Chinese policymakers and analysts are also developing strategies for drawing on international experience. Analysts from other countries and officials in organisations that support international health need to understand this approach if they are to strengthen mutual learning with their Chinese counterparts.
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FHS Bangladesh Research Brief 2 - Costs of utilizing healthcare services in Chakaria, a rural area in Bangladesh

Future Health Systems

The large informal private sector in Bangladesh consists of many different types of partially qualified and unqualified practitioners, providing low quality care. Irrespective of their inadequate treatment practices, the informal healthcare practitioners are quite popular among a wide cross-section of the rural population. The perceived costs associated with the different healthcare options are probably important factors determining healthcare seeking behaviour. Thus it is important to examine the economic consequences of their utilisation in Bangladesh.
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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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An experiment with community health funds in Afghanistan

Future Health Systems

Community-based health insurance (CBHI) schemes offer the possibility of raising revenues from communities and at the same time providing financial protection. This paper describes the performance of one type of CBHI scheme, the Community Health Fund (CHF), which was piloted for the first time in five provinces of Afghanistan between June 2005 and October 2006. The performance of the CHF programme demonstrates that complex community-based health financing schemes can be implemented in post-conflict settings like Afghanistan, except in areas of high insecurity.
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Trends in the quality of health care for children aged less than 5 years in Afghanistan, 2004–2006

Future Health Systems

To study trends in the quality of the health care provided to children aged less than 5 years in Afghanistan between 2004 and 2006. In particular, to determine the effect on such quality of a basic package of health services (BPHS), including Integrated Management of Childhood Illness (IMCI), introduced in 2003.
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Contracting for health and curative care use in Afghanistan between 2004 and 2005

Future Health Systems

This study compares changes in the utilization of outpatient curative services from 2004 to 2005 between the different approaches for contracting-out services to non-governmental service providers, contracting-in technical assistance at public sector facilities, and public sector facilities that did not use contracting.
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Health for the rural masses: Insights from Chakaria

Future Health Systems

Health for the rural masses: Insights from Chakaria provides an overview of the situation of health system as it exists in rural Chakaria, Bangladesh. The findings highlight the construct of the existing health systems, people’s health seeking behaviours, the role of formal and informal healthcare providers, the size of health market, and costs of healthcare.
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Potential of Performance Based Payment

Future Health Systems

In Bangladesh the rates of maternal mortality have not reduced appreciably over the past decade. Although many of these deaths could be prevented by providing safe motherhood services through skilled birth attendants, equitable access to these services for the poor remains a problem. This article illustrates how a performance based payment scheme can decrease this inequity and provide lessons for future programs.
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Increasing access to quality health care for the poor: Community perceptions on quality care in Uganda

Future Health Systems

This paper examines the community’s perspectives and perceptions on quality of health care delivery in two Uganda districts. The paper addresses community concerns on service quality.
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