Health services reforms in revolutionary Nicaragua.

Contracting for health services: an evaluation of recent reforms in Nicaragua.

Nicaragua has embarked on a reform of the way in which publicly provided medical care is organized and financed. A principal feature of the reforms includes a decentralization of decision-making authority coupled with an increase in local accountability. Local decision-making authority has been increased by allowing managers more freedom to allocate inputs. Accountability has been strengthened ...

Health sector reforms: implications for sexual and reproductive health services.

These reforms have also been affected by changes in national and international allocation of resources to the health sector, the attribution of responsibility for health, and the increasing commodification of health in almost all countries [2]. Policy changes, some progressive, others retrogressive, wide-ranging biomedical and social research, and efforts to improve sexual and reproductive heal...

The Role of Health System Reforms in Improving Priority Health Services ▲

Why public health services? Experiences from profit-driven health care reforms in Sweden.

Market-oriented health care reforms have been implemented in the tax-financed Swedish health care system from 1990 to 2013. The first phase of these reforms was the introduction of new public management systems, where public health centers and public hospitals were to act as private firms in an internal health care market. A second phase saw an increase of tax-financed private for-profit provid...

Priority setting in the context of health sector reforms: Implications for sexual and reproductive health services

This has implications for the autonomy of these governments to make independent policy decisions. Taking advantage of the financial crisis faced by poor debtor countries, the World Bank and other international funders use the need for loans to impose conditionalities, including the adoption of various health sector reforms, even when these are not the best options for the particular country con...