IDEAS home Printed from https://ideas.repec.org/a/wly/jintdv/v15y2003i1p1-14.html
   My bibliography  Save this article

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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
    • Handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:1-14
    DOI: 10.1002/jid.963
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1002/jid.963
    File Function: Link to full text; subscription required
    Download Restriction: no
    File URL: https://libkey.io/10.1002/jid.963?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. McPake, Barbara Isobel, 1996. "Public autonomous hospitals in sub-Saharan Africa: trends and issues," Health Policy, Elsevier, vol. 35(2), pages 155-177, February.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. Mcpake, Barbara & Hongoro, Charles, 1995. "Contracting out of clinical services in Zimbabwe," Social Science & Medicine, Elsevier, vol. 41(1), pages 13-24, July.
    8. 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.
    9. Gilson, Lucy, 1995. "Management and health care reform in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 40(5), pages 695-710, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nicole Au & Bruce Hollingsworth & Jean Spinks, 2014. "Measuring the Efficiency of Health Services in Lower-income Countries: The Case of Papua New Guinea," Development Policy Review, Overseas Development Institute, vol. 32(2), pages 259-272, March.
    2. Solveig Danielsen & Frank B. Matsiko, 2016. "Using a plant health system framework to assess plant clinic performance in Uganda," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(2), pages 345-359, April.
    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. repec:unu:wpaper:wp2012-69 is not listed on IDEAS
    6. World Bank, 2007. "Healthy Development : The World Bank Strategy for Health, Nutrition, and Population Results," World Bank Publications - Books, The World Bank Group, number 6843, December.
    7. Arnab Acharya & Melisa Martínez-Álvarez, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series wp-2012-069, World Institute for Development Economic Research (UNU-WIDER).
    8. Milagros Nores & Camila Fernandez, "undated". "Building Capacity in Health and Education Systems to Deliver Interventions that Strengthen Early Child Development," Mathematica Policy Research Reports bc89241b99d142d38ccd496bd, Mathematica Policy Research.
    9. John Øvretveit, 2006. "Strengthening Health Services in Low Income Countries," World Bank Publications - Reports 25992, The World Bank Group.
    10. 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.
    11. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care Provision in India: A Facility-Based Analysis," Working Papers 1406, Sam Houston State University, Department of Economics and International Business.
    12. Tandon, Ajay, 2005. "Measuring Efficiency of Macro Systems: An Application to Millennium Development Goal Attainment," ADB Economics Working Paper Series 66, Asian Development Bank.
    13. Biesma, Regien & Makoa, Elsie & Mpemi, Regina & Tsekoa, Lineo & Odonkor, Philip & Brugha, Ruairi, 2012. "The implementation of a global fund grant in Lesotho: Applying a framework on knowledge absorptive capacity," Social Science & Medicine, Elsevier, vol. 74(3), pages 381-389.
    14. Spicer, Neil & Bhattacharya, Dipankar & Dimka, Ritgak & Fanta, Feleke & Mangham-Jefferies, Lindsay & Schellenberg, Joanna & Tamire-Woldemariam, Addis & Walt, Gill & Wickremasinghe, Deepthi, 2014. "‘Scaling-up is a craft not a science’: Catalysing scale-up of health innovations in Ethiopia, India and Nigeria," Social Science & Medicine, Elsevier, vol. 121(C), pages 30-38.
    15. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-9, August.
    16. Djibuti, Mamuka & Rukhadze, Natia & Hotchkiss, David R. & Eisele, Thomas P. & Silvestre, Eva A., 2007. "Health systems barriers to effective use of infectious disease surveillance data in the context of decentralization in Georgia: A qualitative study," Health Policy, Elsevier, vol. 83(2-3), pages 323-331, October.
    17. Jessica Ochalek & Karl Claxton & Paul Revill & Mark Sculpher & Alexandra Rollinger, 2016. "Supporting the development of an essential health package: principles and initial assessment for Malawi," Working Papers 136cherp, Centre for Health Economics, University of York.
    18. Natasha Palmer & Anne Mills, 2012. "Contracting-out Health Service Provision in Resource- and Information-poor Settings," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 23, Edward Elgar Publishing.
    19. Juliet Elu & Gregory Price, 2013. "Ethnicity as a Barrier to Childhood and Adolescent Health Capital in Tanzania: Evidence from the Wage-Height Relationship," African Development Review, African Development Bank, vol. 25(1), pages 1-13.
    20. Acharya, Arnab & Martínez-Álvarez, Melisa, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series 069, World Institute for Development Economic Research (UNU-WIDER).
    21. Harper, Sarah E., 2012. "The Fungibility of Aid Earmarked for HIV/AIDS Control Programs," World Development, Elsevier, vol. 40(11), pages 2263-2274.
    22. Cintra, Renato Fabiano & Cassol, Alessandra & Ribeiro, Ivano & de Carvalho, Antonio Oliveira, 2018. "Corruption and emerging markets: Systematic review of the most cited," Research in International Business and Finance, Elsevier, vol. 45(C), pages 607-619.
    23. Charbel El Bcheraoui & Yodé Miangotar & Farah Daoud & Ellen Squire & Honoré Mimche, 2018. "Advantages and disadvantages of channeling Gavi’s health system strengthening funds through health partners, a case study," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.
    24. Dhiman Das, 2017. "Public expenditure and healthcare utilization: the case of reproductive health care in India," International Journal of Health Economics and Management, Springer, vol. 17(4), pages 473-494, December.
    25. Nicola Foster & Lucy Cunnama & Kerrigan McCarthy & Lebogang Ramma & Mariana Siapka & Edina Sinanovic & Gavin Churchyard & Katherine Fielding & Alison D Grant & Susan Cleary, 2021. "Strengthening health systems to improve the value of tuberculosis diagnostics in South Africa: A cost and cost-effectiveness analysis," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-21, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. 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.
    3. Arnab Acharya & Melisa Martínez-Álvarez, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series wp-2012-069, World Institute for Development Economic Research (UNU-WIDER).
    4. Acharya, Arnab & Martínez-Álvarez, Melisa, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series 069, World Institute for Development Economic Research (UNU-WIDER).
    5. repec:unu:wpaper:wp2012-69 is not listed on IDEAS
    6. Boussalis, Constantine & Nelson, Hal T. & Swaminathan, Siddharth, 2012. "Towards comprehensive malaria planning: The effect of government capacity, health policy, and land use variables on malaria incidence in India," Social Science & Medicine, Elsevier, vol. 75(7), pages 1213-1221.
    7. 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.
    8. World Bank, 2004. "Improving Health, Nutrition and Population Outcomes in Sub-Saharan Africa : The Role of the World Bank," World Bank Publications - Reports 14418, The World Bank Group.
    9. Rishworth, Andrea & Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul & Tampah Prince, Caesar, 2016. "“I was on the way to the hospital but delivered in the bush”: Maternal health in Ghana's Upper West Region in the context of a traditional birth attendants' ban," Social Science & Medicine, Elsevier, vol. 148(C), pages 8-17.
    10. Mpakati Gama, Elvis & McPake, Barbara & Newlands, David, 2013. "The implication of contracting out health care services: The case of service level agreements in Malawi," MPRA Paper 52980, University Library of Munich, Germany.
    11. Gilson, Lucy & Mills, Anne, 1995. "Health sector reforms in sub-Saharan Africa: lessons of the last 10 years," Health Policy, Elsevier, vol. 32(1-3), pages 215-243.
    12. Marc Bonenberger & Moses Aikins & Patricia Akweongo & Xavier Bosch-Capblanch & Kaspar Wyss, 2015. "What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-15, June.
    13. Kara Hanson & Barbara McPake & Pamela Nakamba & Luke Archard, 2005. "Preferences for hospital quality in Zambia: results from a discrete choice experiment," Health Economics, John Wiley & Sons, Ltd., vol. 14(7), pages 687-701, July.
    14. Habtom, G., 2006. "Health Care Governance in Developing Countries : The Case of Eritrea," Other publications TiSEM 289e6243-bb73-4d66-a6a1-8, Tilburg University, School of Economics and Management.
    15. Ahmed, Shakil & Annear, Peter Leslie & Phonvisay, Bouaphat & Phommavong, Chansaly & Cruz, Valeria de Oliveira & Hammerich, Asmus & Jacobs, Bart, 2013. "Institutional design and organizational practice for universal coverage in lesser-developed countries: Challenges facing the Lao PDR," Social Science & Medicine, Elsevier, vol. 96(C), pages 250-257.
    16. AfDB AfDB, 2007. "Working Paper 91 - Health Expenditures and Health Outcomes in Africa," Working Paper Series 2224, African Development Bank.
    17. Guinness, Lorna, 2011. "What can transaction costs tell us about governance in the delivery of large scale HIV prevention programmes in southern India?," Social Science & Medicine, Elsevier, vol. 72(12), pages 1939-1947, June.
    18. Barbara Mcpake & Caroline Machray, 1997. "International Comparisons Of Health Sector Reform: Towards A Comparative Framework For Developing Countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 9(4), pages 621-629.
    19. Anna Cavalli & Sory I Bamba & Mamadou N Traore & Marleen Boelaert & Youssouf Coulibaly & Katja Polman & Marjan Pirard & Monique Van Dormael, 2010. "Interactions between Global Health Initiatives and Country Health Systems: The Case of a Neglected Tropical Diseases Control Program in Mali," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 4(8), pages 1-7, August.
    20. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    21. Jitta, Jessica & Whyte, Susan Reynolds & Nshakira, Nathan, 2003. "The availability of drugs: what does it mean in Ugandan primary care," Health Policy, Elsevier, vol. 65(2), pages 167-179, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:1-14. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/journal/5102/home .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.