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Publications

Filtering by Category: 2008

Health dynamics, innovation and the slow race to make technology work for the poor

Future Health Systems

The “race to universal fixes” for health anddevelopment problems is valuable. It is an important counter to innovation approaches aimed simply at a race to the top inthe global economy, assuming that health and poverty-relatedproblems will be solved by trickle down. Yet as this article argues, it risks missing the finishing line if a complementary– and slower – race is not pursued. This “slow race”emphasizes pathways to tackling ill-health and disease whichare specific to diverse and dynamic local contexts; createshybrids between local and external knowledge andperspectives for appropriate solutions; recognizes thattechnological fixes are not enough and that social, culturaland institutional dimensions are key, requiring a systemsapproach to health and innovation, and embraces uncertaintyand unpredictable change through adaptation and learning.
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FHS India Research Brief 4 - Catastrophic Health Care Payment: how much protected are the users of public hospitals?

Future Health Systems

The present research brief presents some recent evidences on the incidence of catastrophic financial shocks experienced by the users of public vis-à-vis private hospitals in one Indian state (West Bengal). The scenario is especially interesting in West Bengal, where public sector plays a dominant role in providing inpatient care. The findings presented below would therefore help understand whether and to what extent a strong presence of public sector is an adequate instrument for financial protection.
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FHS India Research Brief 3 - Barriers to access immunization services: a study in Murshidabad, West Bengal

Future Health Systems

Despite overall achievement in immunization coverage, there is a growing concern among the West Bengal state’s decision-makers about relatively lower performance in several regions within the state. These are typical difficult pockets where severebarriers are perceived to exist on the way of accessing public health services.
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Global initiatives in childhood immunisation

Future Health Systems

In The Lancet today, Stephen Lim and colleagues compare officially reported estimates of coverage with diphtheria, tetanus, and pertussis vaccine (DTP3) to estimates based on household survey data.1 With close to 600 surveys from 193 countries, this definitive study confirms that the correlation between mothers' reports and official reports is not good.
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Poverty and Access to Health Care in Developing Countries

Future Health Systems

Poverty contributes to ill health among the poor and to impeded development among poor children. Conversely, It begins with chapters addressing specific diseases associated with poverty, such as tuberculosis, malaria, HIV/AIDS, lymphatic filariasis, hookworm, and measles, along with public health issues in the developing world. Other chapters address poverty and maternal health, health disparities, and human nutrition. Effects of health care services, education, and housing on human development are also addressed, as are the social, economic, engineering, and technology determinants of human development.
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Economic welfare implications of differently structured vision care markets

Future Health Systems

There are abundant examples of “economics of ophthalmology” articles in the peer-reviewed literature describing economic evaluations, that is cost–benefit and cost-effectiveness studies comparing the value of policies, guidelines or patient management options. In health systems with severely limited resources, the ability to compare the value of the cost and outcomes of different policy options is critical. However, while this is not the only tool that economics provides, there are notably fewer examples of peer-reviewed articles that describe analyses of data related to eye care that test whether economic theory describes individual, provider or organisational behaviour.
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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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