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Attacking inequality in the health sector : a synthesis of evidence and tools / Abdo S. Yazbeck.

Holman Biotech Commons RA418 .Y39 2009
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Format:
Book
Government document
Author/Creator:
Yazbeck, Abdo.
Contributor:
World Bank.
Language:
English
Subjects (All):
Equality--Health aspects.
Equality.
Health services accessibility.
Poor--Medical care--Cross-cultural studies.
Poor.
World health.
Healthcare Disparities.
Cross-Cultural Comparison.
Developing Countries.
Health Policy.
Health Status Disparities.
Socioeconomic Factors.
Poor--Medical care.
Medical Subjects:
Healthcare Disparities.
Cross-Cultural Comparison.
Developing Countries.
Health Policy.
Health Status Disparities.
Socioeconomic Factors.
Genre:
Cross-cultural studies.
Physical Description:
xxiv, 308 pages : illustrations ; 23 cm
Place of Publication:
Washington, DC : World Bank, [2009]
Summary:
A breakthrough in measuring inequalities in health has shattered myths about the effectiveness of health systems in helping the poor. The resulting evidence on outcome inequality is overwhelming. Children from poor families from over 50 low- and middle-income countries suffer from malnutrition and die at much higher rates than children from better-off families. Fertility rates for poor women far outpace those of better-off women. The most jarring finding, however, is not that the poor suffer more, but that health systems, even when publicly financed, are much more likely to serve the better-off than the poor and, by doing so, increase inequalities in health, nutrition, and fertility outcomes. There is hope, though. In this ocean of inequality, islands of success exist and critical lessons can and should be learned from them.
Attacking Inequality in the Health Sector distills the operational knowledge relevant to attacking health sector inequality and uses available empirical evidence to answer two critical questions: Why is there persistent inequality in health care? What can be done about it?
Using 14 evaluated, proven successes and an exhaustive literature review, this book serves as a practical "how to" manual for defining, understanding, and effectively addressing the problems of inequality in health service use. It will be of particular interest to policy makers, advocates in civil society, and development agencies that are committed to improving health service use by the poor and socially vulnerable.
Contents:
An unacceptable reality
Approaching a complex and persistent problem
The importance of "listening"
A menu of pro-poor policies
Brazil, filling the cracks in universal coverage
Cambodia: contracting with nongovernmental organizations to serve the poor
Cambodia: health equity fund for the poor
Chile: integrated services program for the poor
Colombia: expanding health insurance for the poor
India: community-based health care services
Indonesia: health cards for the poor
Kenya: expanding immunization reach through campaigns
The Kyrgyz Republic: health financing reform and the poor
Mexico: paying the poor to use health services
Mexico: providing subsidized health insurance to the poor
Nepal: participatory planning
Rwanda: community-based health insurance
Tanzania: social marketing for malaria prevention
Vigilance.
Notes:
Includes bibliographical references (pages 289-294) and index.
ISBN:
9780821374443
0821374443
OCLC:
244476552

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