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Improving basic health service delivery in low-income countries: 'voice' to the poor

Author

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  • Mehrotra, Santosh
  • Jarrett, Stephen W.

Abstract

Public social services, such as basic health care, represent the effective option for the poor, especially in the rural areas of low-income countries. The quality of such services are at present extremely deficient, largely due to resource constraints and lack of political will to make them function effectively. The state can no longer provide the comprehensive services it has in the past and which were highly successful in a number of 'high-achieving' developing countries. Yet, the state must turn priority attention to providing public services for the poor, in order to close the widening gap between rich and poor. It needs to do this in partnership with the population it aims to reach, through effective linkage with grass-roots organizations and with the support of non-governmental organizations. Giving 'voice' and participation to the population can not only increase the resource base for public services, but can also significantly improve the accountability of providers and lead to a cost-effective option for the poor.

Suggested Citation

  • Mehrotra, Santosh & Jarrett, Stephen W., 2002. "Improving basic health service delivery in low-income countries: 'voice' to the poor," Social Science & Medicine, Elsevier, vol. 54(11), pages 1685-1690, June.
  • Handle: RePEc:eee:socmed:v:54:y:2002:i:11:p:1685-1690
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    Citations

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    Cited by:

    1. Das Gupta, Monica & Khaleghian, Peyvand & Sarwal, Rakesh, 2003. "Governance of communicable disease control services : a case study and lessons from India," Policy Research Working Paper Series 3100, The World Bank.
    2. Uma Kothari & University of Manchester & David Hulme & University of Manchester, 2005. "Narratives, Stories and Tales: Understanding Poverty Dynamics Through Life Histories," Economics Series Working Papers GPRG-WPS-011, University of Oxford, Department of Economics.
    3. Zacharia S. Masanyiwa & Anke Niehof & Catrien J. A. M. Termeer, 2015. "A gendered users′ perspective on decentralized primary health services in rural Tanzania," International Journal of Health Planning and Management, Wiley Blackwell, vol. 30(3), pages 285-306, July.
    4. Bustos, Tatiana E., 2020. "A scoping review of social network analyses in interorganizational collaboration studies for child mental health," Children and Youth Services Review, Elsevier, vol. 119(C).
    5. Kumar, Sudesh & Singh, Janet, 2007. "An action plan to assess the current situation of maternal & newborn care at government health facilities in Jharkhand, India," MPRA Paper 6187, University Library of Munich, Germany, revised 04 Sep 2007.

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