Health Policy Research in South Asia : Building Capacity for Reform
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Washington, DC: World Bank
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The richness of the research papers in
this volume makes it difficult to quickly capture the main
themes and implications of their research. But three
repeated themes can be highlighted: equality of public
spending, the role of the private sector, and the role of
consumers. On the theme of equality in public expenditures,
research in Bangladesh, India, Nepal, and Sri Lanka shows
that in some parts of South Asia-such as south India and Sri
Lanka-governments do a much better job of distributing
subsidies in the health sector than other regions. The
research overwhelmingly documents the dominance of the
private sector in Bangladesh and India and finds a very
strong private sector in Sri Lanka. The research also
highlights different policy instruments available to the
government for working with the private sector to achieve
health sector outcomes. A third general theme is the role of
consumers and the mechanisms available to them to influence
health services delivery. The authors in this volume have
supported the belief that individuals and households can
make a difference in how health services are delivered.
While the three themes summarized above cut across several
of the chapters in this volume, a more basic theme underlies
all the chapters and is the main motivation for conducting
health policy research. That theme is that empirical
research can and should challenge basic assumptions about
the health sector and will provide policymakers some of the
tools needed to improve and monitor the performance of the sector.
Palabras clave
HEALTH POLICY, RESEARCH & ANALYSIS SERVICES, CAPACITY BUILDING PROCESS, POLICY FRAMEWORK, INEQUALITY, PUBLIC HEALTH SERVICES, SUBSIDIES, EQUITY FINANCING, RESOURCE ALLOCATION PROCESSES, EXPENDITURE ANALYSIS, PUBLIC EXPENDITURE FOR HEALTH, POPULATION SECTOR STRATEGIES, HEALTH EXPENDITURES, HEALTH FACILITIES INDICATORS, SURVEYS, PRIVATE SECTOR ASSESSMENTS, PARTNERSHIP ARRANGEMENTS, PRIMARY CARE PHYSICIANS, HEALTH SECTOR, STAKEHOLDER INVOLVEMENT AMBULATORY MEDICAL CARE, BEDS, BURDEN OF DISEASE, COMMUNITY HEALTH, DEATHS, DEVELOPMENT GOALS, DEVELOPMENT INDICATORS, DIPHTHERIA, ECONOMIC GROWTH, EPIDEMIOLOGY, EQUIPMENT, ESSENTIAL SERVICES PACKAGE, FEED, FOOD SECURITY, GENDER, GENERAL PRACTITIONERS, HEALTH ADMINISTRATION, HEALTH CARE, HEALTH CARE SECTOR, HEALTH CARE SERVICES, HEALTH CONDITIONS, HEALTH ECONOMICS, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INDICATORS, HEALTH INSTITUTIONS, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROVISION, HEALTH SECTOR, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM GOALS, HEALTH SYSTEMS, HOSPITAL SERVICES, HOSPITALS, ILLITERACY, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME, INDEXES, INFANT MORTALITY, INFANT MORTALITY RATE, INFANT MORTALITY RATES, INPATIENT CARE, INSURANCE, INTERNATIONAL COMPARISONS, LOCAL GOVERNMENTS, MALNUTRITION, MANAGERS, MEDICAL POLICY, MEDICAL RECORDS, MEDICAL SERVICES, MEDICAL TREATMENT, MORBIDITY, MORTALITY, NUTRITION, ORAL REHYDRATION THERAPY, OUTPATIENT SERVICES, PARTNERSHIP, PATIENT SATISFACTION, PATIENTS, PERFORMANCE INDICATORS, PHYSICIANS, POLICY RESEARCH, POVERTY REDUCTION, PRIMARY CARE, PRIVATE SECTOR, PRIVATE SECTORS, PUBLIC HEALTH, PUBLIC HEALTH EXPENDITURES, PUBLIC HOSPITALS, PUBLIC SECTOR, QUALITY OF HEALTH CARE, ROADS, SOCIAL DEVELOPMENT