There is an inherent tension between implementing organizations - which have specific objectives and narrow missions and mandates - and executive organizations - which provide resources to multiple implementing organizations. Ministries of finance/planning/budgeting allocate across ministries...

In an earlier article, the authors outline some reasons for the disappointingly small effects of primary health care programs and identified two weak links standing between spending and increased health care. The first was the inability to translate public expenditure on health care into real...

There is an apparent consensus that the correct health policy in developing countries is public provision of a mix of preventive and simple curative services through low level health workers and facilities. But the strength of this consensus on the primary health care paradigm is in sharp...