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Equity Implications of Health Sector User Fees in Tanzania.Do we retain the user fee or do we set the user f(r)ee?

"Equity means that everyone should, in practice, and not just in theory, be able to access and use appropriate health services. Health services should not only be for the dominant population group. This implies equitable access and use, given that...

The Impact of Economic Performance on Health in Zimbabwe

"The nexus between economic growth and health outcomes has been extensively studied. However the relationship between the two is not clear. Historically, decline in both infant and child mortality rates, and the fall in both male and female adult...

Health Care Reform in the US and in South Africa: Does New Policy Cure the Disease or Merely Alleviate the Symptoms?

"Both South Africa and the United States (US) have proposed and implemented extensive health care reform in their respective countries within the last two years. For the US, the Patient Protection and Affordable Care Act (PPACA) was meant to over...

What Factors Influence Health Policy Entrepreneurs in West Africa?

"This paper investigates the agenda-setting criteria used by policy entrepreneurs directly involved in the implementation of user-fee abolition or reduction policies for maternal care services in Africa. The study uses an experimental technique, b...

Medical Leave: The Exodus of Health Professionals from Zimbabwe

"Zimbabwe is faced with a growing problem of the emigration of its skilled labour. Health professionals in particular are migrating in search of greener pastures outside the country’s borders. This has negatively affected the quality of health ca...

Medical Recruits: The Temptation of South African Health Care Professionals

"Health workers are one of the categories of skilled professionals most affected by globalization. Over the past decade, there has emerged a substantial body of research that tracks patterns of international migration of health personnel, assesses...

Aids and Aids Treatment in a Rural South African Setting

"The monograph is divided into four chapters and two appendices. The first chapter explores popular meanings and definitions of Aids in Ithanga, the outlying Lusikisiki village where the research was conducted and before the arrival of ART. Chapt...

Financing National Health Insurance in Ghana

"Like many other countries in Africa, Ghana spent much of the 1980s and 1990s paying off debt and enacting austerity measures designed to shore up its economy. The country’s health sector noticeably suffered under the economic cutbacks, resulti...

eAfrica: The electronic Journal of Governance and Innovation, Vol 1, September 2003

The main focus of this volume is the African Diaspora and what the future holds for Africa with regard to the Brain drain crisis, the health care crisis, and democracy. The question that needs to be answered is will the African Diaspora solve Afri...

Have Pro-Poor Health Policies Improved the Targeting of Spending and the Effective Delivery of Health Care in South Africa?

Since 1994 there have been a number of radical changes in the public health care system in South Africa. Budgets have been reallocated, decision making was decentralised, the clinic network was expanded and user fees for primary health care were a...

Fixing Health Systems

The challenges that face Africa in the sphere of health care are formidable and often daunting. After decades of stagnant or worsening poverty and health indicators across the continent, the Millennium Development Goals (MDGs) — adopted by the U...

Nursing the Future: e-Learning and Clinical Care, in Kenya

"The Policy Voices Series examines the policy implications arising from the experience of innovators in Africa. This paper considers the work of an organisation, chronicling what must be the ultimate test of any distance-learning programme: to ac...

The Impact of Structural Adjustment Programs on The Health Sector in The Sudan: A Case of Khartoum State

"This study tries to examine the impact of the macro economic reforms implemented in the context of SAPs, especially the most important part of the sectoral reforms relating to the imposition of user charges, on the health sector and on the healt...

Women's Literacy and Reproductive Health: An ethnographic study of women attending a day hospital in the Western Cape

"This research project explores the relationship between women’s literacy and reproductive health care practices within a specific setting, the Hout Bay Day Hospital and its environs. In this introductory chapter, I shall outline my construction ...

Analysis of Health Care Utilization in Côte d'Ivoire

"Health constitutes a sufficiently solid entrance to reduce poverty and promote economic growth. Yet, in most African countries and particularly in Côte d’Ivoire, the populations’ state of health has seen a real deterioration over the last decade....

The Demand for Reproductive Health Services : Frameworks of Analysis

"The paper reviews a unified model of demand for health care inputs and health production and shows how the model can be applied to design and implement policies to improve reproductive health of the population. Although the focus of the applicati...

Patience and Care: Rebuilding nursing and midwifery, in Somaliland

"Somaliland's maternal, infant, and child mortality rates are among the highest in the world. A rudimentary health system already beset by under-investment and neglect collapsed completely during the final years of a civil war which ended in 1991....

The Impact of Government Support to Community AIDS Home-Based Care Delivery

"The objectives of this report is to explore the impact of Government support to community home-based care activities. The study also look at whether or not the Government has any mechanisms in place to monitor the impact of this kind of support i...

Reproductive Health Issues and Women in Ghana: Has Global Attention Made a Difference

"Women in developing countries face persistent problems in achieving this type of holistic reproductive health pushing it to become a key focus of many international efforts, most notably in the United Nation’s Millennium Development Goals (MDGs)...

Access to Family Planning Services in Rural Tanzania

The study concluded that family planning services are generally available. However, the range of options available to users at the primary healthcare level tends to be limited, which limits the ability of users to switch methods. The proper manage...

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