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SAFEGUARDING THE HEALTH SECTOR IN TIMES OF MACROECONOMIC INSTABILITY
Policy Lessons for Low- and Middle-Income Countries
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978-1-55250-370-6.jpg SAFEGUARDING THE HEALTH SECTOR IN TIMES OF MACROECONOMIC INSTABILITY
Policy Lessons for Low- and Middle-Income Countries

Edited by Slim Haddad, Enis Barış, and Delampady Narayana

Africa World Press/IDRC 2008
ISBN 1-59221-597-1
e-ISBN 978-1-55250-370-6
352 pp.

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Safeguarding the Health Sector in Times of Macroeconomic Instability presents the results of an international initiative to document the effects of how health systems in the developing world have responded to macroeconomic austerity and adjustment measures. Are these systems flexible and resilient to changes or are they rigid? In which circumstances and under which conditions do health systems respond favourably or unfavourably? What are the success stories? Country studies from Burkina Faso, Zimbabwe, India, Thailand, Mexico, and Colombia discuss lessons learned and identify policy measures for safeguarding the health sector.

This book provides a fresh look at the relationships between macroeconomic policy and interventions, health sector reform, and the health system in general, presenting new and detailed observations to inform policy choices within the health-care sector worldwide. It is unique in its focus on health systems and services (including financing, quality, accessibility, and utilization), rather than on health status. It will be of interest to academics, researchers, and students studying or active in health sciences and international development studies; professionals and practitioners in donor organizations, development organizations, and NGOs worldwide; and policy advisors and decision-makers in the health-care sector.

THE EDITORS

Slim Haddad , PhD, is a physician specializing in public health and a health economist. He is a Professor in the Department of Social and Preventive Medicine at the Université de Montréal, where he teaches planning and evaluation of public health programs, health economics, and health and social justice. Dr Haddad has coordinated numerous studies in low- and middle-income countries. His areas of expertise include health services research and the evaluation of health policies and services. His work has focused particularly on evaluating the impacts and analyzing the distributive effects of health policies, health sector reform, and health-financing mechanisms such as micro-insurance.

Enis Barış, Senior Public Health Specialist at the World Bank, is a physician with graduate degrees in public health (MSc) and epidemiology (PhD), with specialization in health services. Dr Barış has a wide range of experience in development and research in over 30 countries. He has initiated and managed multiple single and multicountry research and development projects on macroeconomic adjustment policies and health sector reform, decentralization and access to care, health-care reform, and tuberculosis control.

Delampady Narayana is Professor, Reserve Bank of India Development Studies Chair at the Centre for Development Studies (CDS), Kerala, India. Dr Narayana received his PhD from the Indian Statistical Institute, Kolkata. From 1994 to 1995, he was a Fulbright scholar at the Harvard Centre for Population and Development Studies, and from January to June 2006, Visiting Professor at Unité de Santé Internationale, Montréal, Canada. His areas of current interest are decentralized governance and health care services. He is also actively involved in capacity building at the level of the local government and with women’s self-help groups in Kerala.

News:
Dr K Srinath Reddy, President, Public Health Foundation of India,
releases book by IDRC, Africa World Press

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 Document(s)

Foreword Christina Zarowsky (IDRC) - Research for Health Equity 2007


Acknowledgments 2007


1. The MAPHealth Project: A Multi-Country Initiative Slim Haddad, Enis Barış, Delampady Narayana 2007


2. Macroeconomic Adjustment Policies and Health Sector Reform: Surveying the Literature Katherine S. Mohindra 2007


3. Methodological Issues in Evaluating Public Policy Slim Haddad, Enis Barış, and the MAPHealth team: Katherine S. Mohindra, Delampady Narayana, Jeannie Haggerty, Luis Durán, Stephen K. Chandiwana, Francisco José Yepes, Sanguan Nittayaramphong, Adrien Nougtara, Barthélémy Kuate Defo 2007


4. Health Sector Reform under Macroeconomic Adjustment in Burkina Faso: Lost Opportunities? Adrien Nougtara, Slim Haddad, Jacques Guéda Ouédraogo, Salimata Ky-Ouédraogo, Valéry Ridde, Pierre Fournier 2007


5. Aiming for Equity in Colombia’s Health System Reform: Achievements and Continuing Challenges Francisco José Yepes, Manuel Ramírez, María Gloria Cano, Rodrigo Bustamante 2007


6. Adjustment and Health Sector Reforms: the Solution to Low Public Spending on Health Care in India? Delampady Narayana 2007


7. High Health Achievements and Good Access to Health Care at Great Cost: the Emerging Kerala Situation Delampady Narayana 2007


8. Reform without Structural Change: Conserving Traditional Sources of Power and Prestige in Mexico’s Segmented Health Market Luis Durán, Sofía Arjonilla, Viviane Brachet-Márquez, Jeannie Haggerty 2007


9. The Evolution of Thailand’s Health System after Three Crises, Three Adjustments, and Three Decades of Growth Sanguan Nitayarumphong, Y.aowarat Porapakkham, Supattra Srivanichakorn, Sunee Wongkongkathep, Enis Barış 2007


10. Striving to Safeguard Health Systems Undermined by Adjustment: Policy Lessons from Zimbabwe Stephen K Chandiwana, Tapiwa Jhamba, Charles Mutasa, Brian Chandiwana, Boy Sebit, Henry Chikowa, Paulinus L.N. Sikosana, Levon Arevshatian 2007


11. Political Will and Adaptive Strategies: Keys to Safeguarding the Health Sector in Times of Macroeconomic Instability Slim Haddad, Delampady Narayana, Enis Barış 2007


Contributors 2007




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