Abstract:
:This paper explores changes to budget allocations for health during the decentralization process in UGANDA: When the districts were given the authority to allot their own budgets, allocations for health were reduced considerably. The rationale for this by district leaders is investigated and analyzed. Their criteria for budget allocations for health are often based on views different to those held at central level, hence there can be conflict between the two. The mechanisms instituted by central government in reaction to what was perceived as a lack of local support to the health sector are described. In conclusion, while conditional funding may be a useful short-term step, long-term development requires less conditionalities. Health professionals need to work closely with local leaders and district officials to make health a political priority in order to develop and allocate resources for health at local level.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Jeppsson Adoi
10.1093/heapol/16.2.187subject
Has Abstractpub_date
2001-06-01 00:00:00pages
187-92issue
2eissn
0268-1080issn
1460-2237journal_volume
16pub_type
杂志文章abstract::Health policy and systems research (HPSR) is vital to guiding global institutions, funders, policymakers, activists and implementers in developing and enacting strategies to achieve the Sustainable Development Goals. We undertook a multi-stage participatory process to identify priority research questions relevant to i...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czy079
更新日期:2018-11-01 00:00:00
abstract::Many countries in sub-Saharan Africa face the problem of organizing health service delivery in a manner that provides adequate quality and coverage of health care to their populations against a background of economic recession and limited resources. In response to these challenges, different governments, including tha...
journal_title:Health policy and planning
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abstract::User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, we interrogate ideas of quality maternity care in the context of Nigeria's medical pluralism. We found complex utilization patterns for conventional, complementary and a...
journal_title:Health policy and planning
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journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czz175
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abstract::BACKGROUND Post-communist health care reforms and the break-up of Czechoslovakia have been studied from various perspectives, but little research has addressed the impact on health system performance. This paper investigates the quality and performance of the Slovak and Czech health systems before and after 1989, incl...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs093
更新日期:2013-08-01 00:00:00
abstract::In most settings, a 'public' health service refers to a service which belongs to the state. The term 'private' is used when health care is delivered by individuals and/or institutions not administered by the state. In this paper it is argued that such a distinction, which is based on the institutional or administrativ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/12.3.193
更新日期:1997-09-01 00:00:00
abstract::The number of medical students trained in Nepal each year has increased nearly fifty-fold in the last 15 years, primarily through the creation of private medical schools. It is unknown where this expanding cohort of new physicians will ultimately practice. We distributed an anonymous survey to students in their last 2...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr052
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abstract:OBJECTIVE:To determine whether an expansion in private sector contraceptive supply is associated with increased socio-economic inequality in the modern contraceptive prevalence rate (MCPR inequality). METHODS:Multiple rounds of Demographic and Health Surveys data were analysed for five countries that experienced an in...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn035
更新日期:2008-11-01 00:00:00
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journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu070
更新日期:2018-01-01 00:00:00
abstract::There is some evidence that female sex workers (FSWs) receive greater earnings for providing unprotected sex. In 2003, the landscape of the fight against HIV/AIDS dramatically changed in India with the introduction of Avahan, the largest HIV prevention programme implemented globally. Using a unique, cross-sectional bi...
journal_title:Health policy and planning
pub_type: 杂志文章
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journal_title:Health policy and planning
pub_type: 杂志文章
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abstract::The financial remuneration of health workers (HWs) is a key concern to address human resources for health challenges. In low-income settings, the exploration of the sources of income available to HWs, their determinants and the livelihoods strategies that those remunerations entail are essential to gain a better under...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv131
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journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czy075
更新日期:2018-10-01 00:00:00
abstract::As national resources for health decline, so dependence on international resources to finance the capital and recurrent costs is increasing. This dependence, combined with an increasing emphasis on policy-based, as opposed to project-based, lending and grant-making has been accompanied by greater involvement of intern...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/10.2.122
更新日期:1995-06-01 00:00:00
abstract::Many countries have expanded insurance programmes in an effort to achieve universal health coverage (UHC). We assess a complementary path toward financial risk protection: increased access to technologies that improve health and reduce the risk of large health expenditures. Malawi has provided free HIV treatment since...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa023
更新日期:2020-07-01 00:00:00
abstract::This paper examines healthcare utilization behaviour in Sri Lanka with special emphasis on the choice between costly private and free public healthcare services. We use a data set that combines nationwide household survey data and district level healthcare supply data. Our findings suggest that even with universal pub...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx085
更新日期:2017-11-01 00:00:00
abstract::Growing evidence suggests that early life investments in health are associated with improved human capital and economic outcomes. Various recent global studies have simulated the expected economic returns from alternative packages of interventions in reproductive, maternal, newborn and child health (RMNCH). However, v...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw078
更新日期:2016-12-01 00:00:00
abstract::Unlike any other disease so far, the 'exceptional' nature of HIV/AIDS has prompted debate about the necessity, but also the challenges, of regulating practitioner-patient communication around HIV testing. In India, the National AIDS Control Organization (NACO) has adopted the guidelines of the World Health Organizatio...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czl021
更新日期:2006-09-01 00:00:00
abstract::Home visiting programmes are increasingly recognized as one of the most effective interventions to improve child health and development in low-income settings. However, the best platforms to deliver such programmes remain unclear. We conducted a randomized controlled trial to test the relative effectiveness of child d...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa195
更新日期:2021-01-26 00:00:00
abstract::The burden of disease due to injuries has elicited virtually no public health response in the countries of central and eastern Europe, even though injuries have long been a much greater problem in the east of Europe than in the west, with children especially affected. This paper seeks to identify factors that have inh...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.3.263
更新日期:2000-09-01 00:00:00
abstract::As in many developing countries, lack of reliable data and grossly inadequate appreciation and use of available information in planning and management of health services were two main weaknesses of the health information systems in Malawi. Malawi began strengthening its health management information system with an ana...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi044
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Lebanon, characterized by a free-market health care system, has one of the highest reported per capita rates of cardiac catheterization facilities and coronary angiographies in the world. The aim of this study is to evaluate the appropriateness of performance of coronary angiography procedures in Lebanon. M...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn005
更新日期:2008-05-01 00:00:00
abstract::The 'Community Action for Preventing HIV/AIDS Project' was implemented in four provinces in Cambodia (2001-04) to support a comprehensive set of HIV prevention efforts. Implementation was strictly monitored in terms of inputs, outputs and outcomes. We examine changes in these variables during the project period to ass...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn014
更新日期:2008-07-01 00:00:00
abstract::In Papua New Guinea, investment by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has played an important role in scaling up the response to HIV and tuberculosis (TB). As part of a series of case studies on how Global Fund-supported programmes interact with national health systems, we assess...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czq058
更新日期:2010-11-01 00:00:00
abstract:INTRODUCTION:Coverage of insecticide-treated nets (ITNs) in sub-Saharan Africa is still low despite their proven efficacy, effectiveness and cost-effectiveness. Delivery systems for ITNs have been hotly debated, but there has been no structured approach to assessing their relative effectiveness. This paper aims to: pro...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czm021
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:One billion children live in war-affected regions of the world. We conducted the first cost-effectiveness analysis of an intervention for war-affected youth in sub-Saharan Africa, as well as a broader cost analysis. METHODS:The Youth Readiness Intervention (YRI) is a behavioural treatment for reducing funct...
journal_title:Health policy and planning
pub_type: 杂志文章,随机对照试验
doi:10.1093/heapol/czv078
更新日期:2016-05-01 00:00:00
abstract::Implementation of policies (decisions) in the health sector is sometimes defeated by the system's response to the policy itself. This can lead to counter-intuitive, unanticipated, or more modest effects than expected by those who designed the policy. The health sector fits the characteristics of complex adaptive syste...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs083
更新日期:2012-10-01 00:00:00
abstract::The challenge of achieving community participation as a component of health sector reform is especially great in low- and middle-income countries where there is limited experience of community participation in social policy making. This paper concentrates on the social representations of different actors at different ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.suppl_2.52
更新日期:2001-12-01 00:00:00
abstract::In the period since the Alma-Ata Declaration, there has been much activity in many countries in drawing up strategies for primary health care (PHC). This paper argues that the UK, though a signatory to the Declaration, has failed to provide an adequate framework for such a strategy, and that, in spite of the strong re...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/2.2.129
更新日期:1987-06-01 00:00:00
abstract::There is increasing interest in the prospects for managed market reforms in developing countries, stimulated by current reforms and policy debates in developed countries, and by perceptions of widespread public sector inefficiency in many countries. This review examines the prospects for such reforms in a developing c...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/9.3.237
更新日期:1994-09-01 00:00:00