The authors study the impact of governance and administrative factors on communicable disease prevention in the Indian state of Karnataka using survey data from administrators, frontline workers, and elected local representatives. They identify a number of key constraints to the effective...

This study of health insurance systems in Zaire was carried out as part of a larger program of initiatives designed to improve the sustainability of health care systems and increase the health status of the Zairian population. This paper presents the objectives of the study and a discussion of...

This study is designed to measure financial trends and new initiatives in support of the Safe Motherhood (SM) Initiative, identify issues of statistical methodology that may constrain the analysis, and establish a baseline for 1988 against which to measure future financial trends. Global support...

Most health professionals who have worked in rural areas have had the experience of being supervised badly: the flying visit by a superiorwho inspects the records, delivers a critical speech, and disappears without ever finding out what is really going on in the health center area. Such visits...

This paper explores the major challenges to the sustainability of health sector financing in the countries of the Western Balkans - Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and the province of Kosovo. It focuses on how the incentives created...

The author provides an econometric analysis of health care utilization in Vietnam based on individual and household level data from the 1997-98 Vietnam Living Standards Survey. The author focuses on the major features of health care utilization patterns, including the determinants of largely...

The authors examine the impact of local politics and government structure on the allocation of publicly subsidized (SUS) health services across municipios (counties) in Brazil, and on the probability that uninsured individuals who require medical attention actually receive access to those health...

In the public sector in developing countries, leakage of public resources could prove detrimental to users and affect the well-being of the population. This paper empirically examines the importance of leakage of government resources in the health sector in Chad, and its effects on the prices of...

Croatia began to implement case-based provider payment reforms in hospitals beginning in 2002, starting with broad-based categories according to therapeutic procedures. In 2009, formal diagnostic related groups were introduced, known locally as dijagnosticko terapijske skupine. This study...

Social insurance and other arrangements for funding health-care benefits often establish long-term relationships, effectively providing insurance against lasting changes in an individual's health status, engaging in burden-smoothing over the life cycle, and entailing additional elements of...