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Zuzana Feachem - Implementing Health Sector Reform in Central Asia: Papers from an Health Policy Seminar Held in Ashgabat, Turkmenistan, June 1996 (Edi Learning Resouces Series)

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It is easy for reformers and their overseas advisers to develop conceptually strong plans for health sector reform that appeal to governments, donors, and academics. Transforming these plans into successful action has proved to be extremely difficult. Toward the goal of improving assistance to this sector, the Economic Development Institute (EDI) of the World Bank held a seminar in Ashgabat, Turkmenistan in June 1996. This publication provides a summary of the proceedings and papers presented at that seminar. It was attended by delegations from five countries in Central Asia and from Azerbaijan and Mongolia. The content of this volume emphasizes topics central to the restructuring of health sector financing and health care delivery systems at a time of transition to market economies and to democracy. Maintaining and improving the health status of the population while preventing rapid escalation of health care expenditure were the recurrent themes throughout the seminar.

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title:Implementing Health Sector Reform in Central Asia : Papers From a Health Policy Seminar Held in Ashgabat, Turkmenistan in June, 1996 EDI Learning Resouces Series
author:Feachem, Zuzana
publisher:World Bank
isbn10 | asin:0821343378
print isbn13:9780821343371
ebook isbn13:9780585183350
language:English
subjectHealth care reforms--Asia, Central--Congresses, Health policy--Asia, Central--Congresses, Medical planning--Asia, Central--Congresses, Health transition--Asia, Central--Congresses, Medical care--Government policy--Asia, Central--Congresses, Social medicin
publication date:1999
lcc:RA395.A783I48 1999eb
ddc:362.1/0958
subject:Health care reforms--Asia, Central--Congresses, Health policy--Asia, Central--Congresses, Medical planning--Asia, Central--Congresses, Health transition--Asia, Central--Congresses, Medical care--Government policy--Asia, Central--Congresses, Social medicin
Page i
EDI Learning Resources Series
Implementing Health Sector Reform in Central Asia
Papers from a Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996
Edited by
Zuzana Feachem
Martin Hensher
Laura Rose
The World Bank
Washington, D. C.
Page ii
Copyright 1999
The International Bank for Reconstruction
and Development/THE WORLD BANK
1818 H Street, N.W.
Washington, D.C. 20433, U.S.A.
All rights reserved
Manufactured in the United States of America
First printing December 1998
The Economic Development Institute (EDI) was established by the World Bank in 1955 to train officials concerned with development planning, policymaking, investment analysis, and project implementation in member developing countries. At present the substance of the EDI's work emphasizes macroeconomic and sectoral economic policy analysis. Through a variety of courses, seminars, and workshops, most of which are given overseas in cooperation with local institutions, the EDI seeks to sharpen analytical skills used in policy analysis and to broaden understanding of the experience of individual countries with economic development. Although the EDI's publications are designed to support its training activities, many are of interest to a much broader audience. EDI materials, including any findings, interpretations, and conclusions, are entirely those of the authors and should not be attributed in any manner to the World Bank, to its affiliated organizations, or to members of its Board of Executive Directors or the countries they represent.
Because of the informality of this series and to make the publication available with the least possible delay, the manuscript has not been edited as fully as would be the case with a more formal document, and the World Bank accepts no responsibility for errors. Some sources cited in this paper may be informal documents that are not readily available.
The material in this publication is copyrighted. Requests for permission to reproduce portions of it should be sent to the Office of the Publisher at the address shown in the copyright notice above. The World Bank encourages dissemination of its work and will normally give permission promptly and, when the reproduction is for noncommercial purposes, without asking a fee. Permission to photocopy portions for classroom use is granted through the Copyright Clearance Center, Inc., Suite 910,222 Rosewood Drive, Danvers, Massachusetts 01923, U.S.A.
The complete backlist of publications from the World Bank is shown in the annual Index of Publications, which contains an alphabetical title list (with full ordering information) and indexes of subjects, authors, and countries and regions. The latest edition is available free of charge from the Distribution Unit, Office of the Publisher, The World Bank, 1818 H Street, N.W., Washington, D.C. 20433, U.S.A., or from Publications, Banque mondiale, 66, avenue d'Ina, 75116 Paris, France.
At the time of writing, Zuzana Feachem was a consultant to the Human Resources and Poverty Division of the World Bank's Economic Development Institute. Martin Hensher is a health economist at the London School of Hygiene and Tropical Medicine. Laura Rose is a health economist in the Human Development Sector Unit of the World Bank's Europe and Central Asia Region.
Library of Congress Cataloging-in-Publication Data
Implementing health sector reform in Central Asia : papers from a
health policy seminar held in Ashgabat, Turkmenistan, June 1996 /
edited by Zuzana Feachem, Martin Hensher, Laura Rose.
p. cm.(EDI learning resources series)
Includes bibliographical references (p. ).
ISBN 0-8213-4337-8
1. Health care reformsAsia, CentralCongresses. 2. Health
policyAsia, CentralCongresses. 3. Medical planningAsia,
CentralCongresses. 4. Health transitionAsia, Central
Congresses. 5. Medical careGovernment policyAsia, Central
Congresses. 6. Social medicineAsia, CentralCongresses.
7. Medical economicsAsia, CentralCongresses. I. Feachem,
Zuzana, 1947- .II. Henscher, Martin, 1967- . III. Rose,
Laura, 1962- .IV. Series.
RA395.A783I48 1998
362.1'0958dc21 98-42324
Picture 2CIP
Page iii
CONTENTS
Foreword
v
Acknowledgments
vii
Abbreviations and Acronyms
ix
Summary
xi
Part I. Seminar Proceedings
1. Implementing Health Sector Reform in Central Asia: Context and Lessons Learned
Laura Rose, World Bank
3
Part II. Overview
2. A Survey of Health Reform in Central Asia
Jeni Klugman and George Schieber, World Bank
11
3. Integrated Cost-Effective Care: The Missing Link between Community, Primary, and Secondary Care
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