Monday, October 24, 2011

[EQ] Good health at low cost - What Makes a successful health system?

Good health at low cost' 25 years on. What Makes a successful health system?


Dina Balabanova; Martin McKee; Anne Mills
London School of Hygiene & Tropical Medicine  LSHTM – 2011

Rockefeller Foundation


GHLC full book PDF [399p] at:

“……Why do some low and middle income countries manage to achieve good health outcomes while others fail? What factors drive improvements in the health system and in access to primary health care? How can we act on the social determinants of health in cash-strapped economies?

These questions are as relevant today as they were in 1985 when the Rockefeller Foundation published what was to become a seminal report – Good health at low cost. The report explored why some low and middle income countries achieved better health outcomes than others, making Good health at low cost essential reading for health systems decision- and policy-makers alike.

This new edition of Good health at low cost 25 years on draws on a series of new case studies from Bangladesh, Ethiopia, Kyrgyzstan, Tamil Nadu and Thailand providing fresh insights into the role of effective institutions, innovation and country ownership in catalysing improvements in health.

New challenges such as increasing urbanisation, a growing private sector and an upsurge in non-communicable diseases suggest that both learning from the past and new thinking are required to strengthen health systems. This edition provides both and is a vital resource for academics, policy-makers and practitioners grappling with how to improve health in low and middle income countries…..”


[Podcast interview with book authors]

Chapter 1 – Introduction

Chapter 2 – Research Approach and Methods

Chapter 3 – Health Transcends Poverty: The Bangladesh Experience

Chapter 4 – Ethiopia. Placing Health at the Centre of Development

Chapter 5 – Kyrgyzstan: A Regional Leader in Health System Reform

Chapter 6 – Tamil Nadu: A Success Story in India

Chapter 7 – Why and How Did Thailand Achieve Good Health at Low Cost

Chapter 8 – Good Health at Low Cost Revisited

Chapter 9 – The Contribution of Health Systems to Good Health

Chapter 10 – Improving the Lives of “half the sky”

Chapter 11 – Conclusions



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