Sub-national and district management: Reforms
Health sector reforms
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Health Sector Reform: Key Issues in Less Developed Countries
Andrew Cassels, 1995, WHO
Reform context, content, guiding principles, country experience: reorganising MoH, decentralisation, managed competition
(29 pages, pdf 1MB) -
The Role of Pilot Programs: Approaches to Health Systems Strengthening
2004, Partners for Health Reform Plus
Designing, implementing, and evaluating health system reform pilots; the role of pilots in health sector reform: the Kyrgyzstan experience; primary care cost recovery and quality improvement in Niger; community-based health insurance in Rwanda.
(102 pages, pdf 314kb) -
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) -
What evidence is there about the effects of health care reforms on gender equity 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) -
Who's 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) -
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- Note: this is a big file to download)