Improving Health Service Delivery in Developing Countries
From Evidence to Action
Editors
David Peters, Sameh; El-Saharty, Banafsheh Siadat, Katja Janovsky, and Marko Vujicic
The International Bank for Reconstruction and Development / The World Bank 2009
Available online PDF [366p.] at: http://bit.ly/bQWFZq
Improving health services is a crucial part of achieving the Millennium Development Goals in low- and middle-income countries (LMICs). Despite the abundance of evidence on the efficacy of interventions that can save lives at low cost, the pathways to delivering health services effectively in LMICs are not well known. Decision makers around the world need better information about which strategies to improve health services work best, or how to make current strategies more effective.
By collecting and synthesizing what is known about implementation of health strategies, this book fills an important void in our knowledge about how to improve health services in LMICs. A major contribution of the book is to synthesize a deep and difficult literature on health services in LMICs.
The first chapters of the book are comprehensive and systematic reviews of the literature that examine important sets of strategies for improving health services through health services strengthening strategies and approaches to implementation (chapter 1); strengthening health services organizations (chapter 2); improving performance of individual health care providers (chapter 3); and empowerment of communities (chapter 4).
The book also pulls together years of international data and applies novel analytical approaches to examine how changes in the coverage of different health services affect each other on a national level (chapter 5). The analysis challenges the practice behind setting international targets for health services and offers an alternative based on each country’s experience.
This book helps us think beyond what can be learned from the simpler, reproducible, and controlled interventions that are commonly described in research but are less applicable in practice. It demonstrates how a better understanding of implementation processes—the “how to”—is a crucial complement to the evidence addressing which health intervention should be selected. By better recognizing how context matters—how enabling and inhibiting factors influence even the most standardized or well-intentioned health strategy—the book points a way for managers and decision makers to deal with the complexities they regularly face. Chapter 6 outlines a way of thinking of the institutional factors that influence the delivery of health services, which should be helpful for analysts, managers, and policy makers.
In chapter 8, the book describes how strategies were developed and implemented in the context of seven country case studies….”
Content
Overview
Health Services and the Challenge of Implementation
Common Strategies to Strengthen Health Services
Framework
How to Gain Knowledge on Strengthening Health Services
Chapter 1 Review of Strategies to Strengthen Health Services
Chapter 2 Review of Strategies to Strengthen the Performance of Health Organizations
Chapter 3 Review of Strategies to Improve Health Care Provider Performance
Chapter 4 Review of Community Empowerment Strategies for Health
Chapter 5 Analysis of Cross-country Changes in Health Services
Chapter 6 Institutional Context of Health Services
Chapter 7 Evaluation of Changes in Health Results in World Bank-assisted Health Projects
Chapter 8 Seven Country Case Studies
Chapter 9 From Evidence to Learning and Action
How to Improve Implementation
Notes
References
Glossary
Index
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