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

Author

Listed:
  • 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

    as
    1. 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.
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    4. Valeria Oliveira-Cruz & Kara Hanson & Anne Mills, 2003. "Approaches to overcoming constraints to effective health service delivery: a review of the evidence," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 41-65.
    5. 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.
    6. 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.
    7. Mcpake, Barbara & Hongoro, Charles, 1995. "Contracting out of clinical services in Zimbabwe," Social Science & Medicine, Elsevier, vol. 41(1), pages 13-24, July.
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