Reducing Health Inequalities

In this article, Davidson Gwatkin of the World Bank, draws on a variety of studies and current professional thinking about health inequalities in developing countries and how to reduce them. The article, which makes up a chapter of a book on public health, is divided into four sections. The first provides a brief history of recent trends in concern about health inequalities. The second is a discussion of the concept of health inequalities, while the third summarizes what is known about the dimensions and magnitudes of such inequalities.

Health Markets and Future Health Systems: Innovation for Equity

This article proposes an approach which explores the operation of health markets in order to help explain how health systems are changing. The authors identify potential opportunities for intervention and innovation, and guide the design of monitoring systems that can track and learn from both the intended and unintended consequences of such innovations. Different types of innovations are examined with a specific focus on two in Nigeria and Bangladesh.

Operational Approaches and Financing in Fragile States

Fragile states and situations are difficult environments most importantly for national reformers struggling to bring about peace, improved governance and protection of the population but also for the staff of the World Bank and other donor agencies who work to support them under difficult conditions. This paper by the International Development Association (IDA) shows how the risks of engagement in these contexts will not go away because these are environments where development programs will always be vulnerable to periodic setbacks.

Health Financing: Designing and Implementing Pro-Poor Policies

This paper presents a summary of what is known about the effects of various systems of health care financing and how they can be designed and implemented to be pro-poor and focuses on how funds for health are raised. It covers the principal financing mechanisms, the arguments used for and against different financing mechanisms and a summary of empirical evidence from actual implementation. It also looks at designing and implementing pro-poor financing schemes and provides key lessons for effective development and implementation of pro-poor financing policies.

Editorial: Bridging community-based health insurance and social protection for health care – a step in the direction of universal coverage?

Access to affordable and effective health care is a major problem in low and middle income countries (LMIC) and out-of-pocket expenditure for health care a major cause of impoverishment. One way to facilitate access and overcome catastrophic expenditure is through a health insurance mechanism, whereby risks are shared and financial inputs pooled by way of contributions from salaries or taxation. In LMIC today, the majority of people are either self-employed or work in the informal sector, which makes expansion of formal health insurance, if any, much more difficult.

Aid Allocation and Fragile States

This paper summarizes research on aid allocation and effectiveness, highlighting the current findings of recent research on aid allocation to fragile states.  Fragile states are defined by the donor community as those with either critically poor policies or poorly performing institutions, or both. The paper examines the research findings in the broader context of research and analysis on how aid should and is being allocated across all developing countries.  Various aid allocation models and their implications for aid to fragile states are considered.

Quality Leadership: A prerequisite for Development

In May 2008, Nepal was competitively selected as one of five countries to participate in the MLI, and by September 2008 the MoHP and the MLI had collaboratively devised a technical assistance plan to be implemented during the first year of the three-year initiative.  “Nepal is the only country in South Asia to receive MLI support and, as MLI is a long-term commitment, I am confident that it will benefit greatly from it,” says Gabriele Mallapaty, the Country Lead of MLI in Nepal.

Public Health and Peace Building in Nepal

The unexpected departure of the Maoist Govenment in Nepal brings uncertainty for peace and public health efforts in the country as it recovers from a 10-year civil war.

Stratégie d'extension de la Mutualité au Mali : Une rencontre nationale pour faire le diagnostic

Le Centre International des Conférences de Bamako (CICB) sert de cadre, depuis le  jeudi 24 septembre, ce jusqu’au 26 septembre 2009, aux « Rencontres nationales de diagnostic pour une stratégie d’extension de la Mutualité au Mali ».

Redynamisation du réseau de la mutualité : Pour une accessibilité de tous aux soins de santé

La salle Wa Kamissoko du Centre international de conférence de Bamako CICB a abrité le jeudi 24 septembre 2009  un atelier national de diagnostic pour une stratégie d’extension de la mutualité au Mali. Organisé par le Ministère du Développement Social, de la Solidarité et des Personnes Agées, cet atelier visait à l’extension des mutuelles de santé.

  • MLI Voices

    Jun 22 2009 - 4:25pm

    Sierra Leone

    Even though I have worked in Sierra Leone in the past, the role of MLI Country Lead has given me the opportunity to build upon these previous experiences and to work closely with members of the Ministry of Health and Sanitation (MOHS), to support the implementation of health policies and reforms that they have prioritized.


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