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Sub-national and district management:
The management context: MDGs, PRSPs, SWAPs:
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1,2,3,4
Health Sector Reform
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WHO Productions
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Health Sector Reform: Key Issues in Less Developed Countries
Andrew Cassels, 1995
Reform context, content, guiding principles, country experience: reorganising MoH, decentralisation, managed competition
(29 pages, pdf 1MB)
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Health Sector Reform and District Health Systems (Module 1) [pdf 281kb]
Rufaro Chatora and Prosper Tumusiime, 2004, WHO Regional Office for Africa
Policy development, characteristics, conditions for a functioning health system, assessing operationality, relations between levels
(59 pages)
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Health Sector Reform – What’s in it for sexual and reproductive health?
Entre Nous, The European Magazine for Sexual and Reproductive Health, 2002, WHO Regional Office for Europe and UNFPA
How can we assess the impact of health sector reforms on reproductive health care and services in Europe? The Making Pregnancy Safer Initiative; Integrating reproductive health in the health reform process in Bosnia and Herzegovina; New EU resolution on sexual and reproductive health and rights
(11 pages, pdf 1.87MB)
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What evidence is there about the effects of health care reforms on gender equity, particularly in health?
2005, WHO Regional Office for Europe, Health Evidence Network
Emerging evidence shows that health care reforms can affect men and women differently, as a consequence of their different positions as users and producers of health care. This review assesses the impact of four key health care reforms – decentralization, financing, privatization and priority setting – on gender equity in health.
(15 pages, pdf 214kb)
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Lessons from Cost-Recovery in Health
Andrew Cassels, 1995, WHO/SHS/NHP/95.5
Purpose and scale, revenues raised, efficiency, quality, equity
(34 pages, pdf 1.4MB)
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A GLOBAL HEALTH AGENDA, Engaging for Health, Eleventh General Programme of Work 2006-2015 [pdf 1.73Mb]
2006, WHO
1. Investing in health to reduce poverty
2. Building individual and global health security
3. Promoting universal coverage, gender equality, and health related human rights
4. Tackling the determinants of health
5. Strengthening health systems and equitable access
6. Harnessing knowledge, science and technology
7. Strengthening governance, leadership and accountability
(56 pages)
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Achieving the Right Balance: The Role of Policy-Making Processes in Managing Human Resources for Health Problems
Dominique Egger, Debra Lipson, Orvill Adams, 2000, WHO/EIP/OSD/00.2
Analysis framework, priorities and policies, processes, evidence, ownership, impact indicators, country tables
(61 pages, 218kb)
Other productions
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Three Models of Social Protection
Alejandro Grinspun, 2005, UNDP International Poverty Centre
India, South Africa, Colombia and Brazil; choice of models
(1 page, pdf 42kb)
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National Health Accounts - Global Policy Brief
Partners for Health Reform
, 2002
Distribution of health care resources; government expenditures; out-of-pocket expenditures; achieving equity; capacity to implement NHA
(4 pages, pdf 236kb)
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The Interface Between Health Sector Reform and Human Resources in Health
Felix Rigoli and Gilles Dussault, Human Resources for Health 2003, 1:9
Efficiency; equity; user satisfaction; decentralization; contracting; new incentive systems; professional associations
(12 pages, pdf 361kb)
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Decentralization and Health System Reform Issue in brief
Brinkerhoff,D. and Leighton,C., 2002, Partners for Health ReformPlus
Definitions, objectives and functions of decentralization; authority and responsibility; capacity gaps; vertical and horizontal integration; design, implementation and evaluation of decentralization
(12 pages, pdf 302kb)
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Whose Got the Power? Transforming Health Systems for Women and Children
"Lynn P. Freedman, Ronald J. Waldman, Helen de Pinho, Meg E. Wirth, 2005, UN Millennium Project
A rights-based approach; technical dimensions to scaling up; evidence based interventions; health system as a core social institution; principle of redristribution
(40 pages, pdf 690kb)
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Health Sector Reform: Improving Hospital Efficiency
Grant, K. and Walford, V., 1998, UK Department for International Development
Increasing hospital autonomy as a way of improving efficiency what is meant by increased autonomy? is it different from privatisation? advantages and risks of management autonomy; deciding whether autonomy is appropriate; increasing financial stability of the hospital; specifying the extent of delegation and authority; determining personnel policies, staffing levels and mix; developing financial management systems; communications to staff and the public; service plans; performance measurement; improving procurement and management of drugs, supplies and equipment
(103 pages, pdf 419kb)
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Partners for Health Reformplus
(website)
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ELDIS topic page: Health Sector Reform
DFID Resource Centre
Sub-national and district management:
The management context: MDGs, PRSPs, SWAPs:
1,2,3,4
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