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Planning in the health sector: For whom, by whom?

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  • Akbar Zaidi, S.

Abstract

To state that there are vested interests in health planning is to state the obvious. One can identify numerous actors ranging from international agencies, government officials, pharmaceutical companies, health personnel and community and citizen's groups which would like to stake a claim on the direction and nature of planning and implementing health policy. We argue that the role of specific actors can only be seen in the broader social, economic and ideological framework which, consequently, determines the working of the model of health care. Probably the most important factor influencing health planning is the influence of international donors, governments and agencies. The present ideological tilt towards the market, privatization, less government and more liberalization, has had important repercussions on health planning and delivery. Furthermore, the debt crisis, and the stabilization and structural adjustment programmes being followed by a very large number of underdeveloped countries, are transforming health systems. Essentially, vested interests in health planning within countries, need to be seen in the light of recent ideological and economic changes, and international relations of aid, power and domination.

Suggested Citation

  • Akbar Zaidi, S., 1994. "Planning in the health sector: For whom, by whom?," Social Science & Medicine, Elsevier, vol. 39(9), pages 1385-1393, November.
    • Handle: RePEc:eee:socmed:v:39:y:1994:i:9:p:1385-1393
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    Citations

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    Cited by:

    1. Benjamin Tsofa & Sassy Molyneux & Catherine Goodman, 2016. "Health sector operational planning and budgeting processes in Kenya—“never the twain shall meet”," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(3), pages 260-276, July.
    2. Lewis, Maureen & Eskeland, Gunnar & Traa-Valerezo, Ximena, 2004. "Primary health care in practice: is it effective?," Health Policy, Elsevier, vol. 70(3), pages 303-325, December.
    3. Lewis, Maureen & Eskeland, Gunnar S. & Traa-Valerezo, Ximena, 1999. "Challenging El Salvador's rural health care strategy," Policy Research Working Paper Series 2164, The World Bank.
    4. Leonard, Lori, 2005. "Where there is no state: household strategies for the management of illness in Chad," Social Science & Medicine, Elsevier, vol. 61(1), pages 229-243, July.
    5. Buse, Kent & Walt, Gill, 1996. "Aid coordination for health sector reform: a conceptual framework for analysis and assessment," Health Policy, Elsevier, vol. 38(3), pages 173-187, December.
    6. S. Akbar Zaidi, 1999. "NGO failure and the need to bring back the state," Journal of International Development, John Wiley & Sons, Ltd., vol. 11(2), pages 259-271.
    7. Spicer, Neil J., 2005. "Sedentarization and children's health: Changing discourses in the northeast Badia of Jordan," Social Science & Medicine, Elsevier, vol. 61(10), pages 2165-2176, November.
    8. Durr-e-Nayab, 2005. "Health-seeking Behaviour of Women Reporting Symptoms of Reproductive Tract Infections," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 44(1), pages 1-35.

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