Página 1 dos resultados de 8700 itens digitais encontrados em 0.025 segundos

Private Health Sector Assessment in Mali : The Post-Bamako Initiative Reality

Lamiaux, Mathieu; Rouzaud, François; Woods, Wendy
Fonte: World Bank Publicador: World Bank
Relevância na Pesquisa
66.19%
This country assessment of the private health sector in Mali is part of a series of studies designed to deepen understanding of ways to enhance the health policy framework, business environment, and investment climate in which the private health sector operates in African countries. The Malian health system has evolved dramatically since the middle of the 1980s. A large part of the analysis in this report relies on the reprocessing and the mining of existing databases, the financial and macroeconomic models based on those data, and elements reconstructed through triangulation. Those calculations proved indispensable for assessing the main demographic trends in the private sector, for estimating the growth of community centers (CSCOMs) and private mutual insurance, and identifying how to reinforce them. The growth of the private sector is further held back by insufficient educational preparation for practice in the private sector and in rural areas. For-profit and not-for-profit health care providers, pharmacies...

Republic of Tajikistan : Health Sector Fiduciary Capacity Assessment Report

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
66.17%
The Government of the Republic of Tajikistan (GOT), the World Bank, and international and bilateral partners agreed on the need for a fiduciary assessment for the health sector. The main objective of this assessment is to help the GOT take the necessary measures for fiduciary capacity building in the health sector with a view not only to dealing with the existing fiduciary capacity weaknesses in the sector for the management of public resources, but also to creating favorable fiduciary conditions in the Ministry of Health (MOH) to enable it to gradually assume implementation responsibility for donor-funded projects. Any fiduciary capacity improvements in the health sector will provide the additional comfort to the donor community, reassuring them that their funds will be used more economically and efficiently.

Romania - Functional Review : Health Sector

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
66.17%
This Functional Review was carried by a Bank team upon request by the Government of Romania. As a starting point, it shows that: (i) health outcomes in Romania lag behind those of the EU; (ii) users are not satisfied with its lack of responsiveness - long lines, informal payments, discourteous handling of patients, poor cleanliness, lack of maintenance, and breach of safety measures; (iii) the poor and other vulnerable groups (for example Roma communities) suffer from a significant lack of access to services; and (iv) the fiscal contraction of 2008-2010 exposed the weakness of financial controls in the health sector. The Review examines four health functions in depth: service delivery, financing, stewardship and resources (including pharmaceuticals). Based on our findings, we present recommendations categorized by the three set of challenges that the sector is facing: (i) improving governance and management; (ii) streamlining the health service network and re-launching quality control systems; and (iii) increasing preventive services and equity. For any expansion of the sector to be sustainable...

Bangladesh Health Sector Profile 2010

World Bank
Fonte: Washington, DC Publicador: Washington, DC
EN_US
Relevância na Pesquisa
66.18%
This health sector profile is a description of the health sector in Bangladesh, including its structure, resources, services, performance and dynamics. This document provides an overview of the sector, based on publicly available reports and data. The document intends to help the Ministry of Health and Family Welfare (MOHFW) and its partners to agree on the way forward and its respective roles in the process. It is neither an evaluation nor a programme review, rather it draws and extracts from these key documents to describe how the system works. Chapters one and two provide an overview on the health status of the people of Bangladesh and the determinants of health. Chapters three to eight summarise relevant aspects of the six health systems building blocks: the overall organisation of the health sector including governance and leadership; health services; human resources; information; financing; and medicines. Chapter nine summarises system reform aspects in the Health, Nutrition and Population Sector Programme (HNPSP) and work leading to the new draft national health policy. The annex provides a list of people consulted. The focus of the health sector profile is to describe how the sector works rather than how it should...

Bangladesh Governance in the Health Sector

Rose, Jonathan; Lane, Tracey M.; Rahman, Tashmina
Fonte: World Bank, Dhaka Publicador: World Bank, Dhaka
Tipo: Trabalho em Andamento
EN_US
Relevância na Pesquisa
66.17%
The purpose of this systematic review is to inform the World Bank, development partners and other stakeholders on the state of governance in the health sector of Bangladesh. With billions2 of Bangladeshi Taka invested in the government-run health sector every year, financed by domestic and international sources, there have been numerous efforts to better understand the governance challenges in the sector. This report reviews sixty such reports and studies written by NGOs, academics, government entities, research institutions, consultants and development partners, in the last fourteen years. However, translating that research into policy dialogue and improvement has been challenged due to poor knowledge management, a lack of a systematic approach to research (building on earlier studies findings), and limited efforts to place the work in the public domain and discourse. This paper takes a systematic approach to the literature review, bringing the key findings together and evaluating the weight of evidence on the governance problems in the sector, as well as the gaps that should be addressed by future research efforts. This review furthermore emphasizes the need to understand the factors, and political economy factors in particular, that explain the current state of affairs. The review is structured to systematically assess this literature...

The Health Sector in Ghana : A Comprehensive Assessment

Saleh, Karima
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: Publication
ENGLISH; EN_US
Relevância na Pesquisa
66.19%
Ghana has committed politically, legislatively, and fiscally to providing universal health insurance coverage for its population with the intent of reducing financial barriers to utilization of health care. In 2005, we launched a publically financed comprehensive health benefits package that included within it preventive care and treatment for communicable and non communicable diseases. To attain universal coverage requires addressing the health system holistically. The Ghana health sector is going through a comprehensive set of reforms. The National Health Insurance Scheme (NHIS) is a major step forward. Reforms in the area of human resources have helped reduce attrition, especially of physicians. Decentralization and a policy on retention and use of internally generated insurance funds have ensured a better availability of drugs and incentivized staff in health facilities. The Ghana health sector, like those in all emerging market countries, is, however, facing challenges on many fronts. Health outcomes are not on track to meet several of the health-related Millennium Development Goals...

Republic of Yemen : Health Sector Strategy Note

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Health Sector Review; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
66.17%
This report is intended to provide a base for discussions of Yemen's health sector strategy with the Government of Yemen (GOY) and other donors in light of the Ministry of Public Health (MOPH) initiative of Health Sector Reform (HSR) as well as the potential areas of World Bank support. The report is divided in nine sections. Section A provides the introduction to the report and the country context. Sections B and C review the key health indicators and trends and the key aspects of the sector in terms of financing, service delivery, human resources, health services, organizational framework, and policy environment. Sections D and E provide international comparisons and an assessment of the sector performance with regard to health outcomes, equity, access, efficiency, quality, and sustainability. Section F is an outline of the MOPH/HSR program. Sections G and H provide an overview of the Bank's current assistance and its response to HSR as well as the different donors' support. Finally, Section I outlines the future areas where the Bank can support the government in its health reform efforts. Yemen faces major challenges to improving the health status of its population...

Kyrgyz Republic : Health Sector Fiduciary Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Public Sector Study; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
66.19%
Manas Taalimi, a health sector development program covering the period of 2006-2010, was developed in 2005 by the Ministry of Health as a successor to the first broadly successful Manas I strategy and is an expansion of the health goals embedded in the National Poverty Reduction Strategy (NPRS) and Comprehensive Development Framework (CDF). The First and Second Health Sector Reform Projects financed by the Bank used a traditional project implementation structure with a stand-alone Project Implementation Unit (PIU). The Second Health Sector Reform Project divided fiduciary and administrative functions from technical functions by having two separate but related units: a PIU for the administrative and fiduciary work and a Technical Coordination Unit (TCU) for component coordinators and technical issues. Under Manas Taalimi these fiduciary and technical functions will be integrated into the country's health sector systems and structures. This arrangement with high-level policy coordination and fiduciary functions integrated into the health sector s fiduciary systems and technical decisions taken in each of the Ministry's own technical units is an evolution from the PIU/TCU model employed under Health II and is responsive to the sector wide approach (SWAp) that has been adopted for Manas Taalimi.

Private Health Sector Assessment in Tanzania

White, James; O’Hanlon, Barbara; Chee, Grace; Malangalila, Emmanuel; Kimambo, Adeline; Coarasa, Jorge; Callahan, Sean; Levey, Ilana Ron; McKeon, Kim
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: Publication; Publications & Research
EN_US
Relevância na Pesquisa
66.18%
Tanzania exemplifies the developing world's struggle to achieve 'middle-income' country status while confronting widespread poverty and substantial health challenges-such as persistently high child and maternal mortality, human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS), tuberculosis (TB), and malaria. In this context, Tanzania's National Public Private Partnership (PPP) policy and second Health Sector Strategic Plan (HSSP) included a call for a private health sector assessment. Accordingly, following a regional technical exchange in Mombasa, Kenya, Tanzania's PPP Technical Working Group (TWG) requested that the Health in Africa (HIA) initiative of the International Finance Corporation (IFC) conduct an assessment of the private health sector in mainland Tanzania. Given a history of collaboration between HIA and the USAID-funded project Strengthening Health Outcomes through the Private Sector (SHOPS), which has included holding regional technical workshops on private sector engagement that have drawn representatives from over 14 African countries, HIA engaged SHOPS to lead the effort. With funding support from HIA and the USAID Office of HIV/AIDS, SHOPS assembled a nine-person assessment team composed of health system experts from IFC...

Private Health Sector Assessment in Ghana

Makinen, Marty; Sealy, Stephanie; Bitrán, Ricardo A.; Adjei, Sam; Muñoz, Rodrigo
Fonte: World Bank Publicador: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
66.17%
Most countries in Sub-Saharan Africa confront serious health challenges; however, Ghana has done beer than many of its neighbors. Ghana's life expectancy at birth is 60 years (versus 53 for all of Sub-Saharan Africa), the infant mortality rate is 73 per thousand (versus 79), and the maternal mortality ratio is 562 per 100,000 (versus 832) (World Bank 2009b). Ghana has worked hard to achieve the gains it has made, and it has benefited from substantial assistance from external development partners. Ghana has separated policy making the Ministry of Health, (MOH) from provision Ghana Health Service (GHS) in the public sector and decentralized health service management to the district level. In 2004, Ghana instituted its National Health Insurance Scheme (NHIS) to ease consumers' need to mobilize payment at the time of illness. The private health sector in Ghana is a large and important factor in the market for health-related goods and services. The size and configuration of private providers and their contribution to health sector outcomes. With beer information about the size...

Eritrea : Health Sector Note

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Health Sector Review; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
66.18%
This Health Sector Note is the result of the first phase of an open, participatory three-step process for developing the Health Sector Policy and Strategic Plan (HSPSP), and serves as the preliminary basis for further rounds of discussions, and analyses among stakeholders, to arrive at a strategic vision for the national health sector. The socioeconomic situation is reviewed, stipulating Eritrea remains one of the poorest countries in the world, where lack of sustained economic growth, does not hold much promise for a reduction in poverty in the short to medium term. This will constrain growth in personal income and government revenue, and in turn, growth in domestic resources for investment in, and recurrent cost support to, the health sector. The note identifies the strengths, and challenges of the health sector, as well as the state of the human resources and infrastructure of the sector, discussing briefly, the role of the private sector. Adequate resources need to be mobilized and available to health care services...

Turkey : Reforming the Health Sector for Improved Access and Efficiency, Volume 1. Main Report; Turkey - Health Sector Study

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Health Study; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
66.17%
Fundamental and systemic changes would have to be brought about in the ways that health care is financed, delivered, organized, and managed in Turkey in order to meet the ultimate objective of improving the health status of people, and not only meet but surpass the health-related Millennium Development Goals. This would require significant improvements in resource mobilization, allocation and utilization, enhanced efficiency in production and delivery of health services, including primary and hospital care, and greater emphasis on clinical quality and patient access to health services. Against this backdrop, the World Bank and the Government of Turkey agreed to undertake an intensive review of all aspects of the health sector, and the present report is produced from this effort. One objective of an evaluation at this juncture is to lay the foundation for developing a medium-term health sector strategy and a prioritized action plan aimed at improving access to health services, enhancing equity in utilization...

Turkey : Reforming the Health Sector for Improved Access and Efficiency, Volume 2. Background Papers

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Health Study; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
66.16%
Fundamental and systemic changes would have to be brought about in the ways that health care is financed, delivered, organized, and managed in Turkey in order to meet the ultimate objective of improving the health status of people, and not only meet but surpass the health-related Millennium Development Goals. This would require significant improvements in resource mobilization, allocation and utilization, enhanced efficiency in production and delivery of health services, including primary and hospital care, and greater emphasis on clinical quality and patient access to health services. Against this backdrop, the World Bank and the Government of Turkey agreed to undertake an intensive review of all aspects of the health sector, and the present report is produced from this effort. One objective of an evaluation at this juncture is to lay the foundation for developing a medium-term health sector strategy and a prioritized action plan aimed at improving access to health services, enhancing equity in utilization...

The Health Sector in Argentina: Current Situations and Options for Improvement

World Bank
Fonte: Washington DC Publicador: Washington DC
Tipo: Economic & Sector Work :: Health Sector Review; Economic & Sector Work
ENGLISH; EN
Relevância na Pesquisa
66.16%
The Argentine health sector faces the challenge of improving its performance and finding options for resolving its chronic problems of inequity, inefficiency and weak regulatory framework. These challenges have become more pressing in light of the country's economic and social crisis. The main objective of all efforts to reform the health sector should be to improve the health status of the population, especially the poorest and most vulnerable. The federal nature of Argentina and its marked heterogeneity constitute the framework within which reforms must progress. Thus, the role of the provinces in health sector performance is key. The national government is responsible for guiding, coordinating, regulating and providing incentives for provincial efforts to improve health outcomes. This includes guaranteeing that other sub-sectors (i.e. social security insurers) contribute to health sector goals, and that there are effective instruments and forums to inspire better provincial coordination and articulation. There are concrete options to improve the Argentine health sector's response to the needs of the poorest and most vulnerable. Options that stand out include: (i) strengthening the provincial health insurance function (for instance...

Private Health Sector Assessment in Kenya

Barnes, Jeff; O'Hanlon, Barbara; Feeley, Frank III; McKeon, Kimberly; Gitonga, Nelson; Decker, Caytie
Fonte: World Bank Publicador: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
66.19%
Kenya private sector is one of the most developed and dynamic in Sub Saharan Africa. In this context, USAID/Kenya requested that the Private Sector Partnerships-One project (PSP One) conduct an assessment of the private health sector in Kenya. The scope of work involved assessing the role of the private sector in the overall health system, considering the potential of the private sector to play a greater role and identifying ways to improve the public private interface to increase equity, access, and efficiency in the health system. The development of the scope of work also coincided with the start up of the World Bank/International Finance Corporation (IFC) program for better health in Africa, which envisions improvement of the government private sector interface to create new opportunities for investment and lending for growth of the private health sector in Africa. As a result, the PSP One team was able to benefit from World Bank/IFC support for both this report and a summary report that served as a catalyst for a policy dialogue. The recommendations in this report have been revised in consideration of stakeholder feedback received during the policy process.

Islamic Republic of Iran - Health Sector Review : Volume 1. Main Report

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Health Sector Review; Economic & Sector Work
ENGLISH
Relevância na Pesquisa
66.17%
The Government of the Islamic Republic of Iran has stated its commitment to improving the health and nutritional status of the population as articulated in the Interim Country Assistance Strategy (CAS), which lists as priorities addressing nutritional deficiencies, expanding coverage of basic health services, and improving efficiency of the health system and the quality of service at all levels. This health sector review is consistent with this in that it provides the platform and evidence base for such reform. It is also in-line with part three of the current Fourth Five-Year Plan, which includes health development, human security and social justice priority, the reduction of illness from malnutrition, increasing public health service coverage, and increasing access to quality health services while reducing the financial burden on the families. The objective of this study is to provide a comprehensive review and diagnostic of the performance of the health sector in the Islamic Republic of Iran. The government is quite advanced in the type of analysis it already undertakes on various aspects of the sector (e.g....

Uganda - A Public Expenditure Review 2008 : With a Focus on Affordability of Pay Reform and Health Sector

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Public Expenditure Review
ENGLISH
Relevância na Pesquisa
66.17%
This report is a further response to the call from Uganda's leaders for 'value for money' in public spending. The report is the second in a series of three sector-oriented public expenditure reviews (PER) for the Government of Uganda (GOU) prepared by the World Bank as input into the Government of Uganda's budget reform initiatives. The focus of this report is efficiency and efficacy of spending by the Government of Uganda with a specific focus on the health sector. The first report in the series was 'Uganda fiscal policy for growth', published in 2007, with a focus on the education sector. This report comes in two volumes. Volume one is the main report with conclusions and policy recommendations which analyses composition of overall spending and budget implementation, budgetary consequences of ongoing pay reforms, and efficiency and effectiveness of spending in Uganda's health sector. Volume two contains a full report on the health sector, and includes the background papers prepared.

Zambia Health Sector Public : Accounting for Resources to Improve Effective Service Coverage

Picazo, Oscar F.; Zhao, Feng
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
Tipo: Publications & Research :: Publication; Publications & Research
EN_US
Relevância na Pesquisa
66.19%
Over the past few years, three nagging problems have bedeviled Zambia's health sector: the country is falling off-track from reaching the Millennium Development Goals (MDGs), it is facing severe financing constraints on the government front, and the health and HIV/AIDS sector is increasingly being fragmented by the reemergence of global disease initiatives. This health sector pubic expenditure review (PER) seeks to assist the Government of the Republic of Zambia (GRZ) and its development partners take stock of the resources in the health sector and how these resources can be better used to produce better health services. The results of the PER are expected to be the used for a variety of purposes, including the preparation of the health sector strategic plan, and succeeding rounds of the global fund request for proposals. Policy dialogue between the Bank and GRZ, both at the macro and sector levels, can also be enriched by the PER. The PER also provides critical inputs into the Medium-Term Expenditure Framework (MTEF) process, and in the assessment of the Poverty Reduction Strategy Paper (PRSP). Likewise, the PER can provide inputs to fine-tune the process of the pooled basket funding mechanism under the sector-wide approach (SWAp).

Health Care in Sri Lanka : What Can the Private Health Sector Offer?

Govindaraj, Ramesh; Navaratne, Kumari; Cavagnero, Eleonora; Seshadri, Shreelata Rao
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
66.2%
This review represents an attempt to bridge the significant knowledge gaps on the private health sector in Sri Lanka, and foster a dialogue on opportunities for collaboration between the government and the private sector. It accomplishes this through a systematic collection and analysis of primary and secondary data on the provision, financing, and regulation of health care services. On health service delivery, the review finds that the private sector: includes a range of providers; focuses primarily on curative and outpatient services rather than preventive services; is heavily dependent on the public sector for its supply of human resources; and is concentrated in urban areas. The quality of health care services in Sri Lanka in both the private and public sectors, while better than in most developing countries, still lags behind those in more advanced countries. There is also little systematic dialogue and collaboration between the public and private sectors. On financing, the review finds that private health expenditure is more than half of total health expenditure...

Health sector reform and reproductive health in Latin America and the Caribbean: strengthening the links

Langer,A.; Nigenda,G.; Catino,J.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 EN
Relevância na Pesquisa
76.11%
Many countries in Latin America and the Caribbean (LAC) are currently reforming their national health sectors and also implementing a comprehensive approach to reproductive health care. Three regional workshops to explore how health sector reform could improve reproductive health services have revealed the inherently complex, competing, and political nature of health sector reform and reproductive health. The objectives of reproductive health care can run parallel to those of health sector reform in that both are concerned with promoting equitable access to high quality care by means of integrated approaches to primary health care, and by the involvement of the public in setting health sector priorities. However, there is a serious risk that health reforms will be driven mainly by financial and/or political considerations and not by the need to improve the quality of health services as a basic human right. With only limited changes to the health systems in many Latin American and Caribbean countries and a handful of examples of positive progress resulting from reforms, the gap between rhetoric and practice remains wide.