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Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up

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Author Info

  • Kara Hanson

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • M. Kent Ranson

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Valeria Oliveira-Cruz

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Anne Mills

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

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    Abstract

    The Commission on Macroeconomics and Health recommended a significant expansion in funding for health interventions in poor countries. However, there are a range of constraints to expanding access to health services: as well as an absolute lack of resources, access to health interventions is hindered by problems of demand, weak service delivery systems, policies at the health and cross-sectoral levels, and constraints related to governance, corruption and geography. This special issue is devoted to analysis of the nature and intensity of these constraints, and how they can best be overcome. Copyright © 2003 John Wiley & Sons, Ltd.

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    File URL: http://hdl.handle.net/10.1002/jid.963
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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Journal of International Development.

    Volume (Year): 15 (2003)
    Issue (Month): 1 ()
    Pages: 1-14

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    Handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:1-14

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    Web page: http://www3.interscience.wiley.com/journal/5102/home

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    References

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    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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    1. McPake, Barbara Isobel, 1996. "Public autonomous hospitals in sub-Saharan Africa: trends and issues," Health Policy, Elsevier, vol. 35(2), pages 155-177, February.
    2. Shreelata Rao Seshadri, 2003. "Constraints to scaling-up health programmes: a comparative study of two Indian states," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 101-114.
    3. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    4. Gaspar Kilala Munishi, 2003. "Intervening to address constraints through health sector reforms in Tanzania: some gains and the unfinished business," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 115-131.
    5. Gilson, Lucy, 1995. "Management and health care reform in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 40(5), pages 695-710, March.
    6. Mcpake, Barbara & Hongoro, Charles, 1995. "Contracting out of clinical services in Zimbabwe," Social Science & Medicine, Elsevier, vol. 41(1), pages 13-24, July.
    7. M. Kent Ranson & Kara Hanson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Constraints to expanding access to health interventions: an empirical analysis and country typology," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 15-39.
    8. Valeria Oliveira-Cruz & Kara Hanson & Anne Mills, 2003. "Approaches to overcoming constraints to effective health service delivery: a review of the evidence," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 41-65.
    9. Santosh Mehrotra & UNICEF - United Nations Children's Fund, 2000. "Integrating Economic and Social Policy: Good practices from high achieving countries," Innocenti Working Papers inwopa00/9, UNICEF Innocenti Research Centre.
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    Citations

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    Cited by:
    1. World Bank, 2007. "Healthy Development : The World Bank Strategy for Health, Nutrition, and Population Results," World Bank Publications, The World Bank, number 6843.
    2. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    3. M. Kent Ranson & Kara Hanson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Constraints to expanding access to health interventions: an empirical analysis and country typology," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 15-39.
    4. Kaspar Wyss & Daugla Doumagoum Moto & Bart Callewaert, 2003. "Constraints to scaling-up health related interventions: the case of Chad, Central Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 87-100.
    5. Acharya, Arnab & Alvarez, Melisa Mart.nez, 2012. "Aid Effectiveness in the Health Sector," Working Papers UNU-WIDER Research Paper , World Institute for Development Economic Research (UNU-WIDER).

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