Strengthening user participation through health sector reform in Colombia: a study of institutional change and social representation.

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 levels of the health care system in Colombia that may hinder or enable effective implementation of the participatory policy. The study took place in Cali, Colombia and focused on two institutional mechanisms created by the state to channel citizen participation into the health sector, i.e. user associations and customer service offices. This is a case study with multiple sources of evidence using a combination of quantitative and qualitative social science methods. The analysis of respondents' representations revealed a range of practical concerns and considerable degree of scepticism among public and private sector institutions, consumer groups and individual citizens about user participation. Although participation in Colombia has been introduced on political, managerial and ethical grounds, this study has found that health care users do not yet have a meaningful seat around the table of decision-making bodies.

journal_name

Health Policy Plan

authors

Mosquera M,Zapata Y,Lee K,Arango C,Varela A

doi

10.1093/heapol/16.suppl_2.52

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

52-60

eissn

0268-1080

issn

1460-2237

journal_volume

16 Suppl 2

pub_type

杂志文章
  • Review of quality assessment tools for family planning programmes in low- and middle-income countries.

    abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czw123

    authors: Sprockett A

    更新日期:2017-03-01 00:00:00

  • Programmes for advance distribution of misoprostol to prevent post-partum haemorrhage: a rapid literature review of factors affecting implementation.

    abstract::Recent efforts to prevent post-partum haemorrhage (PPH) in low-income countries have focused on providing women with access to oral misoprostol during home birth. The WHO recommends using lay health workers (LHWs) to administer misoprostol in settings where skilled birth attendants are not available. This review synth...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czv012

    authors: Smith HJ,Colvin CJ,Richards E,Roberson J,Sharma G,Thapa K,Gülmezoglu AM

    更新日期:2016-02-01 00:00:00

  • The progressivity of health-care financing in Kenya.

    abstract:BACKGROUND:Health-care financing should be equitable. In many developing countries such as Kenya, changes to health-care financing systems are being implemented as a means of providing equitable access to health care with the aim of attaining universal coverage. Vertical equity means that people of dissimilar ability t...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czt073

    authors: Munge K,Briggs AH

    更新日期:2014-10-01 00:00:00

  • Health insurance selection in Chile: a cross-sectional and panel analysis.

    abstract::In Chile, workers are mandated to choose either public or private health insurance coverage. Although private insurance premiums depend on health risk, public insurance premiums are solely linked to income. This structure implies that individuals with higher health risks may tend to avoid private insurance, leaving th...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czt017

    authors: Pardo C,Schott W

    更新日期:2014-05-01 00:00:00

  • How to evaluate the implementation of complex health programmes in low-income settings: the approach of the Gavi Full Country Evaluations.

    abstract::Vaccination, like most other public health services, relies on a complex package of intervention components, functioning systems and committed actors to achieve universal coverage. Despite significant investment in immunization programmes, national coverage trends have slowed and equity gaps have grown. This paper des...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa127

    authors: Soi C,Shearer JC,Budden A,Carnahan E,Salisbury N,Asiimwe G,Chilundo B,Sarma H,Gimbel S,Simuyemba M,Uddin J,Masiye F,Kamya M,Hozumi D,Rajaratnam JK,Lim SS

    更新日期:2020-11-01 00:00:00

  • Sector-wide approaches (SWAps) in health: what have we learned?

    abstract::Sector-wide approaches (SWAps) in health were developed in the early 1990s in response to widespread dissatisfaction with fragmented donor-sponsored projects and prescriptive adjustment lending. SWAps were intended to provide a more coherent way to articulate and manage government-led sectoral policies and expenditure...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs128

    authors: Peters DH,Paina L,Schleimann F

    更新日期:2013-12-01 00:00:00

  • Inappropriate use of medicines and associated factors in Brazil: an approach from a national household survey.

    abstract::This article aims to describe the inappropriate use of medicines in the Brazilian urban population and to identify associated factors. We conducted a data analysis of a household survey carried out in Brazil in 2013-14. The sampling plan was done by clusters with representativeness of the urban population and large re...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czz038

    authors: Luiza VL,Mendes LVP,Tavares NUL,Bertoldi AD,Fontanella AT,Oliveira MA,Campos MR,PNAUM Group .

    更新日期:2019-12-01 00:00:00

  • Sub-national health care financing reforms in Indonesia.

    abstract::Indonesia has seen an emergence of local health care financing schemes over the last decade, implemented and operated by district governments. Often motivated by the local political context and characterized by a large degree of heterogeneity in scope and design, the common objective of the district schemes is to addr...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czw101

    authors: Sparrow R,Budiyati S,Yumna A,Warda N,Suryahadi A,Bedi AS

    更新日期:2017-02-01 00:00:00

  • The effect of essential medicines programme on rational use of medicines in China.

    abstract:OBJECTIVE:Irrational use of medicines is a serious problem in China and has been the primary target of China's national essential medicines programme (NEMP). The aim of this study was to evaluate the effect of the NEMP on rational use of medicines in China. METHODS:A nationwide sample of 3 76 700 prescriptions written...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv008

    authors: Gong Y,Yang C,Yin X,Zhu M,Yang H,Wang Y,Li Y,Liu L,Dong X,Cao S,Lu Z

    更新日期:2016-02-01 00:00:00

  • Transcalar networks for policy transfer and implementation: the case of global health policies for malaria and HIV/AIDS in Cameroon.

    abstract::This paper explores the nature and type of policy transfer promoted by global health partnerships to facilitate access to medication in Cameroon and the associated implementation challenges. Using concepts from policy transfer, multi-level governance and the politics of scale, the paper conceptualizes the social space...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czq018

    authors: Ngoasong MZ

    更新日期:2011-01-01 00:00:00

  • Tools for monitoring the effectiveness of district maternity referral systems.

    abstract::It is widely accepted that substantial reductions in maternal mortality and severe morbidity are impossible to achieve without an effective referral system for complicated cases. Early detection and referral to higher levels of care might also substantially reduce neonatal deaths due to the complications of childbirth...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/16.4.353

    authors: Murray SF,Davies S,Phiri RK,Ahmed Y

    更新日期:2001-12-01 00:00:00

  • Health policy evolution in Lao People's Democratic Republic: context, processes and agency.

    abstract::During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective impleme...

    journal_title:Health policy and planning

    pub_type: 杂志文章,评审

    doi:10.1093/heapol/czu017

    authors: Jönsson K,Phoummalaysith B,Wahlström R,Tomson G

    更新日期:2015-05-01 00:00:00

  • Delivery-related complications and determinants of caesarean section rates in India.

    abstract::Caesarean section rates have been increasing worldwide, raising the question of the appropriateness of the selection of cases for the procedure. This paper examines the levels and correlates of delivery-related complications and caesarean section deliveries in 18 selected states of India in terms of specific maternal ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/17.1.90

    authors: Mishra US,Ramanathan M

    更新日期:2002-03-01 00:00:00

  • Traditional medicine for the rich and knowledgeable: challenging assumptions about treatment-seeking behaviour in rural and peri-urban Nepal.

    abstract::Traditional medicine is commonly assumed to be a crucial health care option for poor households in developing countries. However, little research has been done in Asia to quantify the reliance on traditional medicine and its determinants. This research contributes to filling in this knowledge gap using household surve...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv060

    authors: Thorsen RS,Pouliot M

    更新日期:2016-04-01 00:00:00

  • Removing user fees for facility-based delivery services: a difference-in-differences evaluation from ten sub-Saharan African countries.

    abstract:BACKGROUND:Several countries in sub-Saharan Africa have recently adopted policies that remove user fees for facility-based delivery services. There is little rigorous evidence of the impact of these policies on utilization of delivery services and no evaluations have examined effects on neonatal mortality rates (NMR). ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czu027

    authors: McKinnon B,Harper S,Kaufman JS,Bergevin Y

    更新日期:2015-05-01 00:00:00

  • How to do (or not to do) ... Tracking data on development assistance for health.

    abstract::Development assistance for health (DAH) has increased substantially in recent years and is seen as important to the improvement of health and health systems in developing countries. As a result, there has been increasing interest in tracking and understanding these resource flows from the global health community. A nu...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czr076

    authors: Grépin KA,Leach-Kemon K,Schneider M,Sridhar D

    更新日期:2012-09-01 00:00:00

  • Did contracting effect the use of primary health care units in Pakistan?

    abstract::For many years, Pakistan has had a wide network of Basic Health Units spread across the country, but their utilization by the population in rural and peri-urban areas has remained low. As of 2004, in an attempt to improve the utilization and performance of these public primary healthcare facilities, the government has...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czx040

    authors: Malik MA,Van de Poel E,Van Doorslaer E

    更新日期:2017-09-01 00:00:00

  • The distribution of net benefits under the National Health Insurance programme in Taiwan.

    abstract::The redistributive effects of a social insurance programme are determined by how the programme is paid for-who pays and how much do they pay?-and how the benefits are distributed. As a result, the redistributive effects of a social health insurance programme should be evaluated on the basis of its net benefit-the diff...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czl037

    authors: Huang N,Yip W,Chou YJ,Wang PJ

    更新日期:2007-01-01 00:00:00

  • Socio-economic and ethnic group inequities in antenatal care quality in the public and private sector in Brazil.

    abstract:BACKGROUND:Socio-economic inequalities in maternal and child health are ubiquitous, but limited information is available on how much the quality of care varies according to wealth or ethnicity in low- and middle-income countries. Also, little information exists on quality differences between public and private provider...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czp065

    authors: Victora CG,Matijasevich A,Silveira M,Santos I,Barros AJ,Barros FC

    更新日期:2010-07-01 00:00:00

  • Eradicating guinea worm without wells: unrealized hopes of the Water Decade.

    abstract::At the start of the United Nations International Drinking Water Supply and Sanitation Decade in the 1980s, guinea worm disease was targeted as the major indicator of the success of the Decade's efforts to promote safe water. By the late 1980s, most of the guinea worm endemic countries in Africa and South Asia had esta...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/12.4.354

    authors: Brieger WR,Otusanya S,Adeniyi JD,Tijani J,Banjoko M

    更新日期:1997-12-01 00:00:00

  • Overview: health financing reforms in Africa.

    abstract::Three broad strategies for health financing reform include: 1) cost recovery through user fees to expand access and improve quality of health services along with means testing to increase equity; 2) reallocation of existing resources to improve efficiency and access; and 3) assessment of the efficiency and quality of ...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/10.3.213

    authors: Leighton C

    更新日期:1995-09-01 00:00:00

  • Factors influencing the burden of health care financing and the distribution of health care benefits in Ghana, Tanzania and South Africa.

    abstract::In Ghana, Tanzania and South Africa, health care financing is progressive overall. However, out-of-pocket payments and health insurance for the informal sector are regressive. The distribution of health care benefits is generally pro-rich. This paper explores the factors influencing these distributions in the three co...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs024

    authors: Macha J,Harris B,Garshong B,Ataguba JE,Akazili J,Kuwawenaruwa A,Borghi J

    更新日期:2012-03-01 00:00:00

  • Information quality in a remote rural maternity unit in Ghana.

    abstract::The collection of accurate maternal outcome data enables causes of morbidity and mortality to be identified, which in turn permits interventions to be targeted appropriately. It also allows estimates to be made about the importance of various indicators in predicting birth outcome. These indicators can then be compare...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/15.2.170

    authors: Allotey PA,Reidpath D

    更新日期:2000-06-01 00:00:00

  • National and sub-national analysis of the health benefits and cost-effectiveness of strategies to reduce maternal mortality in Afghanistan.

    abstract:BACKGROUND:Afghanistan has one of the highest rates of maternal mortality in the world. We assess the health outcomes and cost-effectiveness of strategies to improve the safety of pregnancy and childbirth in Afghanistan. METHODS:Using national and sub-national data, we adapted a previously validated model that simulat...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czs026

    authors: Carvalho N,Salehi AS,Goldie SJ

    更新日期:2013-01-01 00:00:00

  • Increasing contraceptive use in rural Pakistan: an evaluation of the Lady Health Worker Programme.

    abstract::Past efforts to promote family planning in Pakistan have been disappointing, but between 1990-91 and 2000-01 contraceptive use has more than doubled. This rise has coincided with a concerted effort on the part of the Pakistani government to increase access to contraceptive services, particularly in rural areas. The La...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czi014

    authors: Douthwaite M,Ward P

    更新日期:2005-03-01 00:00:00

  • Community action for preventing HIV in Cambodia: evaluation of a 3-year project.

    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

    authors: Sopheab H,Fylkesnes K,Lim Y,Godwin P

    更新日期:2008-07-01 00:00:00

  • The worse the better? Quantile treatment effects of a conditional cash transfer programme on mental health.

    abstract::Poor mental health is a pressing global health problem, with high prevalence among poor populations from low-income countries. Existing studies of conditional cash transfer (CCT) effects on mental health have found positive effects. However, there is a gap in the literature on population-wide effects of cash transfers...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czaa079

    authors: Ohrnberger J,Fichera E,Sutton M,Anselmi L

    更新日期:2020-11-20 00:00:00

  • Eliciting health care priorities in developing countries: experimental evidence from Guatemala.

    abstract::Although some methods for eliciting preferences to assist participatory priority setting in health care in developed countries are available, the same is not true for poor communities in developing countries whose preferences are neglected in health policy making. Existing methods grounded on self-interested, monetary...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czv022

    authors: Font JC,Forns JR,Sato A

    更新日期:2016-02-01 00:00:00

  • Translating HIV/AIDS research findings into policy: lessons from a case study of 'the Mwanza trial'.

    abstract::The scale and severity of the impact of the global HIV/AIDS pandemic on low-income countries, mainly those in sub-Saharan Africa, is almost unimaginable to people in high-income countries. There is a particularly pressing need to understand better how to ensure the translation into policy and practice of important res...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/17.2.196

    authors: Philpott A,Maher D,Grosskurth H

    更新日期:2002-06-01 00:00:00

  • Insured yet vulnerable: out-of-pocket payments and India's poor.

    abstract::Protecting households from high out-of-pocket (OOP) payments for health care is an important health system goal. High OOP payments can push households into poverty and make them vulnerable to catastrophic health expenditures. This study, based in India, aims to: (a) estimate OOP payments for health and related impover...

    journal_title:Health policy and planning

    pub_type: 杂志文章

    doi:10.1093/heapol/czr029

    authors: Shahrawat R,Rao KD

    更新日期:2012-05-01 00:00:00