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Approaches to overcoming constraints to effective health service delivery: a review of the evidence

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  • Valeria Oliveira-Cruz

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

  • Kara Hanson

    (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

This paper reviews the current evidence base regarding efforts to overcome constraints to effective health service delivery in low and middle-income countries. A systematic literature review was chosen as the approach to gather and analyse existing knowledge about how to improve the 'close-to-client' health system. We focused on three levels of constraints: community and household, the health services delivery level itself, and health sector policy and strategic management. In total, 116 studies were reviewed and their main findings presented. The results should be interpreted with caution due to the considerable limitations in the existing evidence base. Copyright © 2003 John Wiley & Sons, Ltd.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:41-65
    DOI: 10.1002/jid.965
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    1. Santoso, Budiono, 1996. "Small group intervention vs formal seminar for improving appropriate drug use," Social Science & Medicine, Elsevier, vol. 42(8), pages 1163-1168, April.
    2. Robinson, Sheila A. & Larsen, Donald E., 1990. "The relative influence of the community and the health system on work performance: A case study of community health workers in Colombia," Social Science & Medicine, Elsevier, vol. 30(10), pages 1041-1048, January.
    3. Dong, Hengjin & Bogg, Lennart & Rehnberg, Clas & Diwan, Vinod, 1999. "Drug policy in China: pharmaceutical distribution in rural areas," Social Science & Medicine, Elsevier, vol. 48(6), pages 777-786, March.
    4. McPake, Barbara & Hanson, Kara & Mills, Anne, 1993. "Community financing of health care in Africa: An evaluation of the Bamako initiative," Social Science & Medicine, Elsevier, vol. 36(11), pages 1383-1395, June.
    5. Pérez-Cuevas, Ricardo & Guiscafré, Hector & Muñoz, Onofre & Reyes, Hortensia & Tomé, Patricia & Libreros, Vita & Gutiérrez, Gonzalo, 1996. "Improving physician prescribing patterns to treat rhinopharyngitis. Intervention strategies in two health systems of Mexico," Social Science & Medicine, Elsevier, vol. 42(8), pages 1185-1194, April.
    6. Ofori-Adjei, David & Arhinful, Daniel K., 1996. "Effect of training on the clinical management of malaria by medical assistants in Ghana," Social Science & Medicine, Elsevier, vol. 42(8), pages 1169-1176, April.
    7. Litvack, Jennie I. & Bodart, Claude, 1993. "User fees plus quality equals improved access to health care: Results of a field experiment in Cameroon," Social Science & Medicine, Elsevier, vol. 37(3), pages 369-383, August.
    8. Ahmed, Nasar U. & Zeitlin, Marian F. & Beiser, Alexa S. & Super, Charles M. & Gershoff, Stanley N., 1993. "A longitudinal study of the impact of behavioural change intervention on cleanliness, diarrhoeal morbidity and growth of children in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 37(2), pages 159-171, July.
    9. Stock-Iwamoto, Christel & Korte, Rolf, 1993. "Primary health workers in North East Brazil," Social Science & Medicine, Elsevier, vol. 36(6), pages 775-782, March.
    10. Frankenberg, E. & Thomas, D., 2000. "Women's Health and Pregnancy Outcomes: Does Access to Services Make a Difference?," Papers 00-04, RAND - Labor and Population Program.
    11. Oshiname, Frederick O. & Brieger, William R., 1992. "Primary care training for patent medicine vendors in rural Nigeria," Social Science & Medicine, Elsevier, vol. 35(12), pages 1477-1484, December.
    12. Mcpake, Barbara & Hongoro, Charles, 1995. "Contracting out of clinical services in Zimbabwe," Social Science & Medicine, Elsevier, vol. 41(1), pages 13-24, July.
    13. Homedes, Nuria & Ugalde, Antonio, 2001. "Improving the use of pharmaceuticals through patient and community level interventions," Social Science & Medicine, Elsevier, vol. 52(1), pages 99-134, January.
    14. Kafle, Kumud K. & Gartoulla, Ritu Prasad & Pradhan, Y. M. S. & Shrestha, A. D. & Karkee, S. B. & Quick, Jonathan D., 1992. "Drug retailer training: Experiences from Nepal," Social Science & Medicine, Elsevier, vol. 35(8), pages 1015-1025, October.
    15. Gilson, Lucy, 1995. "Management and health care reform in sub-Saharan Africa," Social Science & Medicine, Elsevier, vol. 40(5), pages 695-710, March.
    16. Perry, Henry & Robison, Nathan & Chavez, Dardo & Taja, Orlando & Carolina Hilari & Shanklin, David & Wyon, John, 1999. "Attaining health for all through community partnerships: principles of the census-based, impact-oriented (CBIO) approach to primary health care developed in Bolivia, South America," Social Science & Medicine, Elsevier, vol. 48(8), pages 1053-1067, April.
    17. Curtale, Filippo & Siwakoti, Bhola & Lagrosa, Cecilia & LaRaja, Massimo & Guerra, Ranieri, 1995. "Improving skills and utilization of Community Health Volunteers in Nepal," Social Science & Medicine, Elsevier, vol. 40(8), pages 1117-1125, April.
    18. Foster, Susan, 1991. "Supply and use of essential drugs in sub-Saharan Africa: Some issues and possible solutions," Social Science & Medicine, Elsevier, vol. 32(11), pages 1201-1218, January.
    19. Chernichovsky, Dov & Bayulken, Caroline, 1995. "A pay-for-performance system for civil service doctors: The Indonesian experiment," Social Science & Medicine, Elsevier, vol. 41(2), pages 155-161, July.
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    Cited by:

    1. 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.
    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. 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, April.
    4. 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.
    5. John Øvretveit, 2006. "Strengthening Health Services in Low Income Countries," World Bank Publications - Reports 25992, The World Bank Group.
    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. 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.
    8. 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.
    9. 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.

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