Health service delivery
Service delivery in difficult environments
This report summarises the findings of research carried out by the HRC into the question of how service delivery interventions can be improved in difficult environments. Evidence was obtained from a series of desk-based case studies ( Afghanistan, Angola, Democratic Republic of Congo, Sri Lanka, Sudan and Uganda).
Human resources
Scaling up health and education workers: four literature reviews
The objective of these four discreet literature reviews is to understand the evidence relating to approaches to improving outcomes through increasing the numbers, productivity, quality, distribution and retention of health and education workers. It identifies gaps in the current knowledge base and gives examples of successful and unsuccessful interventions in order to inform the thinking and work of DFID and its partners.
Multiple public-private job-holding of health care providers in developing countries: an exploration of theory and evidence
This review examines the systematic and individual causes of multiple job-holding and evidence on its prevalence through an analysis of country -level conditions.
Human resources in the health sector: an international perspective
This paper, aimed primarily at DFID advisors and health sector analysts, attempts to map out selected issues relating to the planning and management of human resources in health by combining an international perspective with issues and trends emerging from individual countries.
A review of the human resource content of PRSP and HIPC documentation in 6 selected African countries
This review examines the country based poverty reduction strategy paper (PRSP) documentation and the associated World Bank/IMF HIPC documentation for human resources for health content for 6 African countries: Ghana, Kenya, Malawi, Mauritania, Tanzania and Uganda.
A review of human resource issues in the health sector: briefing paper
A review of experiences in improving staff performance and motivation.
Working with the private sector
HIV antiretroviral therapy: can franchising expand coverage?
This paper reviews the experiences of franchising and discusses the opportunities and implications for governments and donors of franchising for HIV and AIDS services.
Private-public partnership in Georgia: a case study of contracting an NGO to provide specialist health services
This case study provides details of a partnership that emerged in Georgia following the initiation of health sector reforms in 1995. It focuses on describing the details of how and why the public purchaser contracted a non-governmental provider to deliver a set of health services in Georgia.
Private provision in its institutional context - lessons from health
This paper aims to contribute to the development of common understanding of the reality in countries where most poor people live and to formulate practical strategies for meeting the needs of the poor.
Experience of contracting with the private sector - a selective review
This paper reviews experiences of social agencies contracting with the private sector to provide health care services, and focuses on the capacity of this mechanism to improve access to services by the poor.
Contracting and performance management in the health sector: a guide for low and middle income countries
A discussion of the benefits and problems of contracting for services, providing guidelines for using commissioning and contracts to improve performance and accountability, and a model contract for adaptation and use.
La Contración y la Gestión del Rendimiento en el Sector Salud
The contracting paper in Spanish.
Making the most of the private sector - summary
This workshop report provides an analysis of the problems and opportunities of the rapid private sector growth occurring in many countries, and presents case study materials from Pakistan, India, Uganda and Cambodia.
Prepared with LSHTM's Health Economics and Financing Programme, joint conference organisers.
Full report | Case studies
Improvements, measurements and reforms
Cost-effective Delivery of Specialist Medical Services to the St. Helena Population -
Review of Options - Draft Recommendations
2006
This report reviews the health care context of St. Helena and suggests a number of methods of improving delivery, including: the use of telemedicine; making formal arrangements for travel and accomodation; and exploring government and health insurance.
Technical Assistance pooling: tools and lessons learned
Technical Assistance (TA) is understood to be the transfer, adaptation, mobilisation and utilisation of services, skills, knowledge and technology. The following report describes several forms of TA pooling arrangements in Africa, Asia and Latin America, draws from lessons learned and provides a short analysis of current trends in pooling TA.
Health management information systems in East Africa
In May 2005, DFID Health Resource Centre partners based in Tanzania and Kenya co-hosted a forum on HMIS along with the East African Secretariat, based in Arusha. The forum was set up to allow participants to share experiences of implementing HMIS and to identify best practices in developing and operating HMIS in their countries.
Understanding the 'demand side' in service delivery: definitions, frameworks and tools from the health sector
This paper reviews the six main approaches to demand-side projects and programmes, including the need to change user behaviour to improve health outcomes.
Accreditation and other external quality assessment systems for healthcare: review of experience and lessons learned
The purpose of this review is to describe where External Quality Assessment fits in the broader set of levers that exist for engaging with health care providers and organisations in developing countries in order to improve quality and affordability of care.
DALYs and Essential Service Packages
A review of the value and limitations of using the DALY (Disability Adjusted Life Year) as a measure of health status and health intervention effectiveness, and its role in developing an Essential Service Package for health care.
Health sector reform: improving hospital efficiency
A briefing note on Public Service Commissions in the Commonwealth
Review of the World Health Report 2000
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