A5008522654- Global Maternal and Child Health
- Healthcare Systems and Reforms
- Global Health Care Issues
- Healthcare Policy and Management
- Local Government Finance and Decentralization
- Primary Care and Health Outcomes
- Child Nutrition and Water Access
- Global Health Workforce Issues
- Credit Risk and Financial Regulations
- Food Security and Health in Diverse Populations
- Global Public Health Policies and Epidemiology
- Poverty, Education, and Child Welfare
- Community Health and Development
- Public Health and Social Inequalities
- Stochastic processes and financial applications
- Financial Markets and Investment Strategies
- Corporate Governance and Management
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- HIV/AIDS Research and Interventions
- Latin American Legal and Economic Studies
- Healthcare Quality and Management
- Gender, Labor, and Family Dynamics
- Health Policy Implementation Science
- Social Capital and Networks
Harvard University
2009-2024
Harvard Global Health Institute
2013-2022
Boston University
2014-2018
University of Toronto
2018
ECW Press (Canada)
2018
Harvard University Press
1999-2017
University of Chile
2000
University Research Co (United States)
1990
Sarah Lawrence College
1984
Swarthmore College
1981
This study reviews the experience of decentralization in four developing countries: Ghana, Uganda, Zambia and Philippines. It uses two analytical frameworks to describe compare types degrees each country. The first framework specifies three decentralization: deconcentration, delegation devolution. second a principal agent approach innovative maps ‘decision space’ define range choice for different functions that is transferred from centre periphery system. analysis finds variety...
Chile has had a two-tiered health system since the 1980s, though successive governments have worked to strengthen public tier. Despite improvements in some indicators, satisfaction with declined, and need for reform is widely acknowledged.
Health information systems are central to strong health systems. They assist with patient and program management, quality improvement, disease surveillance, strategic use of information. Many donors have worked improve systems, particularly by supporting the introduction electronic (EHIS), which considered more responsive efficient than older, paper-based As many donor-driven programs increasing their focus on country ownership, sustainability these investments is a key concern. This...
Implementation science has been growing as discipline in the past decades, producing an increasing number of models area. On other hand, most frameworks are intended to guide implementation programs, focusing on identifying elements and stages that increase their success. This article aims structure this discussion, proposing a simplified tool synthesizes common frameworks, highlight usefulness use not only successful strategies but assess gaps global health initiatives.The study was carried...
Background Since the early 2000s, there have been large increases in donor financing of human resources for health (HRH), yet few studies examined their effects on systems.
ABSTRACT Health workforce planning is essential for ensuring a resilient and well‐functioning healthcare system capable of addressing population needs responding to crises. In Georgia, an upper‐middle‐income country, significant challenges remain in the strategic planning, regulation, management health workforce. This policy analysis evaluated approaches Georgia's dynamic context. guided by National Strategy 2022–2030, prioritises needs‐based professional qualifications, nursing development....
Zambia implemented an ambitious process of health sector decentralization in the mid 1990s. This article presents assessment degree decentralization, called ‘decision space’, that was allowed to districts Zambia, and analysis data on available at national level assess allocation choices made by local authorities some indicators performance systems under decentralization.
Efficient logistics systems move essential medicines down the supply chain to service delivery point, and then end user. Experts on tend see as requiring centralized control be most effective. However, many health reforms have involved decentralization, which experts fear has disrupted made less There is no consensus an appropriate methodology for assessing effectiveness of decentralization in general, only a few studies attempted address systems. This paper sets out framework pioneering...
Advocates of local government often argue that when decentralisation is accompanied by adequate mechanisms accountability, particularly those responsive to preferences, improved service delivery will result. From the perspective health sector, appropriate degree and necessary accountability depend upon achievement system goals. Drawing on evidence from six countries (Bolivia, Chile, India, Pakistan, Philippines, Uganda), this article comes conclusion a balance between centralisation some...
In this article we present a study design to evaluate the causal impact of providing supply-side performance-based financing incentives in combination with demand-side cash transfer component on equitable access and quality maternal neonatal healthcare services. This intervention is introduced selected emergency obstetric care facilities catchment area populations four districts Malawi. We here describe discuss our protocol regard research aims, local implementation context, rationale for...
Background Community health worker (CHW) programs are believed to be poorly coordinated, integrated into national systems, and lacking long-term support. Duplication of services, fragmentation, resource limitations may have impeded the potential impact CHWs for achieving HIV goals. This study assesses mediators a more harmonized approach implementing large-scale CHW in context complex systems multiple donors. Methods findings We undertook four country case studies Lesotho, Mozambique, South...
Ministries of health are being called upon to lead major reforms; at the same time they must reform themselves become more modern institutions and assume new different functions roles in dynamic reformed system. The literature on public administration has recommended many processes institutional development, building private sector management techniques, popularized by 'reinventing government' 'total quality management'. More recently, thoughtful insights have emphasized improving through a...
Decentralization is often a major part of health reform policies. However, there have been few attempts to comparatively study the degree decentralization and effects on equity allocations health, so we do not know how best implement this reform. This article uses an innovative comparative analysis "decision space" that was allowed local municipalities in reforms Bolivia Chile, two countries had several years experience implementing decentralization. The studies found relatively little...
Abstract-Key policy questions on decentralization in health relate to whether and which ways sector can improve outcomes. Focusing a maternal, neonatal, child program Pakistan, this study examines relationships between three dimensions of decentralization: the degree local decision-making choice ("decision space"), individual institutional capacities, accountability. Additionally, these are examined at two points time assess "capacity building" interventions, as well any changes decision...