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Governance in health care delivery : raising performance

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  • Lewis, Maureen
  • Pettersson, Gunilla

Abstract

The impacts of health care investments in developing and transition countries are typically measured by inputs and general health outcomes. Missing from the health agenda are measures of performance that reflect whether health systems are meeting their objectives; public resources are being used appropriately; and the priorities of governments are being implemented. This paper suggests that good governance is central to raising performance in health care delivery. Crucial to high performance are standards, information, incentives and accountability. This paper provides a definition of good governance in health and a framework for thinking about governance issues as a way of improving performance in the health sector. Performance indicators that offer the potential for tracking relative health performance are proposed, and provide the context for the discussion of good governance in health service delivery in the areas of budget and resource management, individual provider performance, health facility performance, informal payments, and corruption perceptions. What we do and do not know about effective solutions to advance good governance and performance in health is presented for each area, drawing on existing research and documented experiences.

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Bibliographic Info

Paper provided by The World Bank in its series Policy Research Working Paper Series with number 5074.

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Date of creation: 01 Oct 2009
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Handle: RePEc:wbk:wbrwps:5074

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Keywords: Health Monitoring&Evaluation; Health Systems Development&Reform; Public Sector Expenditure Policy; Health Economics&Finance; Health Law;

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References

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Citations

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Cited by:
  1. Maryanne Sharp & Ioana Kruse, 2011. "Health, Nutrition, and Population in Madagascar 2000-09," World Bank Publications, The World Bank, number 5957, August.
  2. Abigail Barr & Truman Packard & Danila Serra, 2013. "Participatory Accountability and Collective Action: Experimental Evidence from Albania," Discussion Papers, The Centre for Decision Research and Experimental Economics, School of Economics, University of Nottingham 2013-08, The Centre for Decision Research and Experimental Economics, School of Economics, University of Nottingham.
  3. Tomini, Sonila & Groot, Wim, 2012. "Paying informally for public health care in Albania: scarce resources or governance failure?," MERIT Working Papers 070, United Nations University - Maastricht Economic and Social Research Institute on Innovation and Technology (MERIT).
  4. La Forgia, Gerard & Raha, Shomikho & Shaik, Shabbeer & Maheshwari, Sunil Kumar & Ali, Rabia, 2014. "Parallel systems and human resource management in India's public health services : a view from the front lines," Policy Research Working Paper Series 6953, The World Bank.
  5. Fiszbein, Ariel & Ringold, Dena & Rogers, F. Halsey, 2011. "Making services work : indicators, assessments, and benchmarking of the quality and governance of public service delivery in the human development sectors," Policy Research Working Paper Series 5690, The World Bank.
  6. Diagne, Mame Fatou & Ringold, Dena & Zaidi, Salman, 2012. "Governance and public service delivery in Europe and Central Asia : unofficial payments, utilization and satisfaction," Policy Research Working Paper Series 5994, The World Bank.
  7. Barr, Abigail & Packard, Truman & Serra, Danila, 2012. "Participatory accountability and collective action : evidence from field experiments in Albanian schools," Policy Research Working Paper Series 6027, The World Bank.
  8. Rubio, Gloria M., 2011. "Measuring governance and service delivery in safety net programs," Social Protection Discussion Papers 64633, The World Bank.
  9. Giannozzi, Sara & Khan, Asmeen, 2011. "Strengthening governance of social safety nets in East Asia," Social Protection Discussion Papers 63930, The World Bank.
  10. Maureen Lewis & Marijn Verhoeven, 2010. "Financial Crises and Social Spending : The Impact of the 2008-2009 Crisis," World Bank Other Operational Studies 12965, The World Bank.

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