David H. Peters - Health expenditures, services, and outcomes in Africa: basic data and cross-national comparisons, 1990-1996, Volume 434
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Health expenditures, services, and outcomes in Africa: basic data and cross-national comparisons, 1990-1996, Volume 434
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In the past 30 years, African countries have made remarkable improvements in health conditions and status. However, they still suffer from some of the worst health conditions in the world. This study sets out to make available national-level information on health expenditures, health service outputs, and health outcomes in a way that could assist health planning and policy development in Africa. It outlines broad patterns of health spending, service delivery, mortality, fertility and malnutrition in Africa in the early to mid 1990s. By also exploring gaps in information available and potential uses of health information, the paper intends to stimulate discussion on how better to monitor progress and use information for better health outcomes within and among different African countries. The data covered in the study include major macroeconomic indicators, such as real GDP, rate of GDP growth, inflation rate, and per capita official development assistance. Key social indicators are presented, including the level of education, and access to safe water and sanitation. The detailed data contained in the annex tables from which the analytic results are derived invite readers to make additional analyses of their own.
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Health Expenditures, Services, and Outcomes in Africa : Basic Data and Cross-national Comparisons, 1990-1996 Health, Nutrition, and Population Series
author
:
Peters, David H.
publisher
:
World Bank
isbn10 | asin
:
0821344382
print isbn13
:
9780821344385
ebook isbn13
:
9780585183244
language
:
English
subject
Medical care, Cost of--Africa, Sub-Saharan, Public health--Africa, Sub-Saharan, Medical care--Africa, Sub-Saharan.
publication date
:
1999
lcc
:
RA410.55H43 1999eb
ddc
:
338.4/33621
subject
:
Medical care, Cost of--Africa, Sub-Saharan, Public health--Africa, Sub-Saharan, Medical care--Africa, Sub-Saharan.
Page i
Health Expenditures, Services, and Outcomes in Africa
Basic Data and Cross-National Comparisons 19901996
HUMAN DEVELOPMENT NETWORK Health, Nutrition, and Population Series
David H. Peters, Kami Kandola, A. Edward Elmendorf, and Gnanaraj Chellaraj
Page aa
Health, Nutrition, and Population Series
This series is produced by the Health, Nutrition, and Population Family (HNP) of the World Bank's Human Development Network. The series aims to provide a vehicle for publishing material on the Bank's work in the HNP sector, to consolidate the various previous publications in the sector, and to improve the standard for quality control, peer review, and dissemination of HNP publications.
The series focuses on publications that expand our knowledge of HNP policy and strategy issues through thematic reviews, analytical work, case studies, and examples of best practices. The volumes in the series focus on material of global and regional relevance.
The broad strategic themes of the series are proposed by its editorial committee, which is coordinated by Alexander S. Preker. The other members of this committee are A. Edward Elmendorf, Mariam Claeson, Armin H. Fidler, Charles C. Griffin, Peter F. Heywood, Prabhat K. Jha, Jack Langenbrunner, Maureen A. Lewis, Samuel S. Lieberman, Milla Mclachlan, Judith Snavely Mcguire, Akiko Maeda, Thomas W. Merrick, Philip Musgrove, David H. Peters, Oscar Picazo, George Schieber, and Michael Walton.
Page ii
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 June 1999
This report has been prepared by the staff of the World Bank. The judgments expressed do not necessarily reflect the views of the Board of Executive Directors or of the governments they represent.
The material in this publication is copyrighted. The World Bank encourages dissemination of its work and will normally grant permission promptly.
Permission to photocopy items for internal or personal use, for the internal or personal use of specific clients, or for educational classroom use, is granted by the World Bank, provided that the appropriate fee is paid directly to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, U.S.A., telephone 978-750-8400, fax 978-750-4470. Please contact the Copyright Clearance Center before photocopying items.
For permission to reprint individual articles or chapters, please fax your request with complete information to the Republication Department, Copyright Clearance Center, fax 978-750-4470.
All other queries on rights and licenses should be addressed to the World Bank at the address above or faxed to 202-522-2422.
Cover graphic by Erin Beth Harris, Spot Color Inc.
Library of Congress Cataloging-in-Publication Data
Health expenditures, services, and outcomes on Africa : basic data and cross-national comparisons, 19901996 / David H. Peters [et al.]. p. cm. Includes bibliographical references. ISBN 0-8213-4438-2 1. Medical care, Cost ofAfrica, Sub-Saharan. 2. Public health Africa, Sub-Saharan. 3. Medical careAfrica, Sub-Saharan. I. Peters, David H., 1962 RA410.55.A357H43 1999 338.4'33621'0967dc21 99-22639 CIP
Page iii
Contents
Foreword
v
Acknowledgments
vii
Abstract
1
1 Introduction and Methodological Overview
2
2 Background on Previous Health Expenditure Studies
5
3 Principal Findings from Cross-National and Intertemporal Comparisons
8
4 Limitations of the Data, Their Uses at the Country Level, and Conclusions
27
Annex 1: References
32
Annex 2: Glossary and Data Sources
35
Annex 3: Tables
39
Text Tables*
1 Key Indicators for African Countries, by Country Group, 19901996
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