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Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up

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  • Kara Hanson

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • M. Kent Ranson

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Valeria Oliveira-Cruz

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Anne Mills

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

Abstract

The Commission on Macroeconomics and Health recommended a significant expansion in funding for health interventions in poor countries. However, there are a range of constraints to expanding access to health services: as well as an absolute lack of resources, access to health interventions is hindered by problems of demand, weak service delivery systems, policies at the health and cross-sectoral levels, and constraints related to governance, corruption and geography. This special issue is devoted to analysis of the nature and intensity of these constraints, and how they can best be overcome. Copyright © 2003 John Wiley & Sons, Ltd.

Suggested Citation

  • Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
    • Handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:1-14
    DOI: 10.1002/jid.963
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    References listed on IDEAS

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    1. Kaspar Wyss & Daugla Doumagoum Moto & Bart Callewaert, 2003. "Constraints to scaling-up health related interventions: the case of Chad, Central Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 87-100.
    2. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
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    Cited by:

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    2. Spicer, Neil & Bhattacharya, Dipankar & Dimka, Ritgak & Fanta, Feleke & Mangham-Jefferies, Lindsay & Schellenberg, Joanna & Tamire-Woldemariam, Addis & Walt, Gill & Wickremasinghe, Deepthi, 2014. "‘Scaling-up is a craft not a science’: Catalysing scale-up of health innovations in Ethiopia, India and Nigeria," Social Science & Medicine, Elsevier, vol. 121(C), pages 30-38.
    3. Nicole Au & Bruce Hollingsworth & Jean Spinks, 2014. "Measuring the Efficiency of Health Services in Lower-income Countries: The Case of Papua New Guinea," Development Policy Review, Overseas Development Institute, vol. 32(2), pages 259-272, March.
    4. Solveig Danielsen & Frank B. Matsiko, 2016. "Using a plant health system framework to assess plant clinic performance in Uganda," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 8(2), pages 345-359, April.
    5. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-9, August.
    6. M. Kent Ranson & Kara Hanson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Constraints to expanding access to health interventions: an empirical analysis and country typology," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 15-39.
    7. Kaspar Wyss & Daugla Doumagoum Moto & Bart Callewaert, 2003. "Constraints to scaling-up health related interventions: the case of Chad, Central Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 87-100.
    8. repec:unu:wpaper:wp2012-69 is not listed on IDEAS
    9. Djibuti, Mamuka & Rukhadze, Natia & Hotchkiss, David R. & Eisele, Thomas P. & Silvestre, Eva A., 2007. "Health systems barriers to effective use of infectious disease surveillance data in the context of decentralization in Georgia: A qualitative study," Health Policy, Elsevier, vol. 83(2-3), pages 323-331, October.
    10. Jessica Ochalek & Karl Claxton & Paul Revill & Mark Sculpher & Alexandra Rollinger, 2016. "Supporting the development of an essential health package: principles and initial assessment for Malawi," Working Papers 136cherp, Centre for Health Economics, University of York.
    11. Natasha Palmer & Anne Mills, 2012. "Contracting-out Health Service Provision in Resource- and Information-poor Settings," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 23, Edward Elgar Publishing.
    12. World Bank, 2007. "Healthy Development : The World Bank Strategy for Health, Nutrition, and Population Results," World Bank Publications - Books, The World Bank Group, number 6843.
    13. Juliet Elu & Gregory Price, 2013. "Ethnicity as a Barrier to Childhood and Adolescent Health Capital in Tanzania: Evidence from the Wage-Height Relationship," African Development Review, African Development Bank, vol. 25(1), pages 1-13.
    14. Arnab Acharya & Melisa Martínez-Álvarez, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series wp-2012-069, World Institute for Development Economic Research (UNU-WIDER).
    15. Milagros Nores & Camila Fernandez, "undated". "Building Capacity in Health and Education Systems to Deliver Interventions that Strengthen Early Child Development," Mathematica Policy Research Reports bc89241b99d142d38ccd496bd, Mathematica Policy Research.
    16. John Øvretveit, 2006. "Strengthening Health Services in Low Income Countries," World Bank Publications - Reports 25992, The World Bank Group.
    17. Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    18. Acharya, Arnab & Martínez-Álvarez, Melisa, 2012. "Aid Effectiveness in the Health Sector," WIDER Working Paper Series 069, World Institute for Development Economic Research (UNU-WIDER).
    19. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care Provision in India: A Facility-Based Analysis," Working Papers 1406, Sam Houston State University, Department of Economics and International Business.
    20. Harper, Sarah E., 2012. "The Fungibility of Aid Earmarked for HIV/AIDS Control Programs," World Development, Elsevier, vol. 40(11), pages 2263-2274.
    21. Cintra, Renato Fabiano & Cassol, Alessandra & Ribeiro, Ivano & de Carvalho, Antonio Oliveira, 2018. "Corruption and emerging markets: Systematic review of the most cited," Research in International Business and Finance, Elsevier, vol. 45(C), pages 607-619.
    22. Tandon, Ajay, 2005. "Measuring Efficiency of Macro Systems: An Application to Millennium Development Goal Attainment," ADB Economics Working Paper Series 66, Asian Development Bank.
    23. Charbel El Bcheraoui & Yodé Miangotar & Farah Daoud & Ellen Squire & Honoré Mimche, 2018. "Advantages and disadvantages of channeling Gavi’s health system strengthening funds through health partners, a case study," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.
    24. Dhiman Das, 2017. "Public expenditure and healthcare utilization: the case of reproductive health care in India," International Journal of Health Economics and Management, Springer, vol. 17(4), pages 473-494, December.
    25. Nicola Foster & Lucy Cunnama & Kerrigan McCarthy & Lebogang Ramma & Mariana Siapka & Edina Sinanovic & Gavin Churchyard & Katherine Fielding & Alison D Grant & Susan Cleary, 2021. "Strengthening health systems to improve the value of tuberculosis diagnostics in South Africa: A cost and cost-effectiveness analysis," PLOS ONE, Public Library of Science, vol. 16(5), pages 1-21, May.

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