This volume contains thirteen papers prepared for the World Bank Conference on Innovations in Health Care Financing, held in Washington, D.C., on March 10-11, 1997. Together these papers provide conceptual and practical policy prescriptions for financing health care systems in developing countries.

Describes the elements of health reform in Sierra Leone as the West African nation attempts to overhaul its health system and focus it on the neediest populations. To highlight the role of key stakeholders, the study reviews the actions proposed and taken for reforming a package of health...

The appropriate role of the state in health is complex both in economic theory and in practice. Theory identifies three reasons for state action: public goods or services with large externalities (involving efficiency); poverty (involving equity); and failings peculiar to insurance markets for...

The World Bank has become the world's largest lender in the health, nutrition, and population (HNP) sectors, requiring the institution to seek ever greater evidence that its work is effective on the ground. This paper reviews the literature on the causes of observed changes in health and...