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Allison Beattie - Sustainable Health Care Financing in Southern Africa: Papers from an Edi Health Policy Seminar Held in Johannesburg, South Africa, June 1996 (Edi Learning Resources Series)

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Sustainable Health Care Financing in Southern Africa: Papers from an Edi Health Policy Seminar Held in Johannesburg, South Africa, June 1996 (Edi Learning Resources Series): summary, description and annotation

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This publication summarizes the proceedings of a senior policy seminar held in Johannesburg, South Africa. The seminar examined two facets of sustainable health care financing: using available resources more effectively to extract more value for the money; and raising additional revenues for health care. Topics included orienting public health resources toward primary health care, improving control of and accountability for district financing, improving hospital efficiency, and making more effective use of donor funding.

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title Sustainable Health Care Financing in Southern Africa Papers From - photo 1

title:Sustainable Health Care Financing in Southern Africa : Papers From an EDI Health Policy Seminar Held in Johannesburg, South Africa, June 1996 EDI Learning Resources Series
author:Beattie, Allison.
publisher:World Bank
isbn10 | asin:0821341456
print isbn13:9780821341452
ebook isbn13:9780585183121
language:English
subjectMedical care--Africa, Southern--Finance--Congresses, Health care reform--Africa, Southern--Congresses.
publication date:1998
lcc:RA410.55S87 1998eb
ddc:338.4/336
subject:Medical care--Africa, Southern--Finance--Congresses, Health care reform--Africa, Southern--Congresses.
Page i
SUSTAINABLE HEALTH CARE FINANCING IN SOUTHERN AFRICA
Papers from an EDI Health Policy Seminar held in Johannesburg, South Africa, June 1996
EDI Learning Resources Series
Edited by
Allison Beattie
JaneDoherty
Lucy Gilson
Eyitayo Lambo
Paul Shaw
The World Bank
Washington, D.C.
Page ii
Copyright (c) 1998
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 May 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 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 its 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. The latest edition is available free of charge from the Office of the Publisher, 1818 H Street, N.W., Washington, D.C. 20433, U.S.A.
Cover design by Tomoko Hirata.
At the time of writing, Allison Beattie was a consultant to the Human Resources and Poverty Division of the World Bank's Economic Development Institute. Jane Doherty is leader of the Health Economics Financing Group at Witwatersrand University's Center for Health Policy. Lucy Gilson is senior research officer at Witwatersrand University's Center for Health Policy. Eyitayo Lambo is a health economist at the World Health Organization/AFRICA. Paul Shaw is principal human resource economist in the Human Resources and Poverty Division of the World Bank's Economic Development Institute.
Library of Congress Cataloging-in-Publication Data
Sustainable health care financing in Southern Africa: papers from an
EDI health policy seminar held in Johannesburg, South Africa, June
1996 / edited by Allison Beattie...[et al.].
p. cm.-(EDI learning resources series)
ISBN 0-8213-4145-6
1. Medical care-Africa, Southern-Financing-Congresses. 2. Health
care reform-Africa, Southern-Congress. I. Beattie, Allison.
II. Economic Development Institute (Washington, D.C.) III. Series.
RA410.55.A356S87 1998
338.4'33621'0968-dc21 97-44593
CIP
Page iii
CONTENTS
Foreword
vii
Preface
ix
Acknowledgments
xi
Executive Summary
xiii
Part I-Seminar Proceedings
1
1. Sustainable Financing in the Broader Framework of Health System Reform
3
2. Implementing Health Financing Reforms in Southern Africa
9
Part II-Overview Papers
33
3. The Lessons of User Fee Experience in Africa
Lucy Gilson, Center for Health Policy, Department of Community Health, University of Witwatersrand, South Africa, and Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, United Kingdom
35
4. Aims and Performance of Prepayment Schemes
Eyitayo Lambo, World Health Organization, Regional Office for Africa, Brazzaville, Republic of Congo
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