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Building the Infrastructure to Reach and Care for the Poor: Trends, Obstacles and Strategies to overcome them

Author

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  • Mavalankar, Dileep
  • Ramani, K. V.
  • Patel Amit
  • Shankar Parvathy

Abstract

Infrastructure forms a critical part of health service delivery in any country. Availability, Accessibility, Affordability, Equity, Efficiency and Quality of MNH services highly depend on the distribution, functionality and quality of infrastructure. Most developing countries have invested substantially in developing health infrastructure in rural areas which provides a base for extending MNH services to the poor. Still, there is clear evidence that in many countries there are gaps and inadequacies in health infrastructure. The functionality and utilization of health infrastructure has been sub-optimal or poor due to a variety of reasons. This paper reviews available literature and assesses the coverage and gaps in infrastructure for MNH. It also identifies critical issues in management of infrastructure and analysis their causes and impact on services delivery to the poor. The paper also reviews impacts of reforms on infrastructure and provides some recommendations for improvement of infrastructure management so as to ensure better services to the poor.

Suggested Citation

  • Mavalankar, Dileep & Ramani, K. V. & Patel Amit & Shankar Parvathy, 2005. "Building the Infrastructure to Reach and Care for the Poor: Trends, Obstacles and Strategies to overcome them," IIMA Working Papers WP2005-03-01, Indian Institute of Management Ahmedabad, Research and Publication Department.
    • Handle: RePEc:iim:iimawp:wp01870
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    Cited by:

    1. Parvathy Sankara Raman & Bharati Sharma & Mavalankar, Dileep & Upadhaya, Mudita, 2009. "Assessing the Regional and District Capacity for Operationalizing Emergency Obstetric Care through First Referral Units in Gujarat," IIMA Working Papers WP2009-04-01, Indian Institute of Management Ahmedabad, Research and Publication Department.
    2. M.N. Tripathi, 2015. "Swachh Odisha: A Case on Attempting to Inculcate Healthy Sanitation Practices in Rural Odisha," Asian Journal of Management Cases, , vol. 12(2), pages 109-127, September.

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