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Swimming Against the Tide: Strategies for Improving Equity in Health


  • Nancy Birdsall
  • Robert Hecht


The evidence shows that government spending for health in many developing countries benefits the well-to-do more than the poor. However, a combination of favorable political forces and sound public policies can shift the focus of government expenditures toward the poor. Doing this is an essential part of any effective poverty reduction program in developing countries.

Suggested Citation

  • Nancy Birdsall & Robert Hecht, 1995. "Swimming Against the Tide: Strategies for Improving Equity in Health," Research Department Publications 4006, Inter-American Development Bank, Research Department.
  • Handle: RePEc:idb:wpaper:4006

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    1. repec:idb:idbbks:379 is not listed on IDEAS
    2. Michael Gavin & Ricardo Hausmann & Eduardo Lora & Carmen Pagés & William D. Savedoff & Miguel Székely & Glenn D. Westley, 1999. "Facing Up to Inequality in Latin America," IDB Publications (Books), Inter-American Development Bank, number 66278 edited by Eduardo Lora, February.

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