The analysis of efficiency in health care has largely focussed either on individual health care providers, or on sub-national health systems conceived as a unique decision-making unit. However, in hierarchically organized national health services, two separate entities are responsible for turning financial resources into services at the local level: health administrations and health care provid...

BACKGROUND In South Africa, the health service is based on a Primary Health Care (PHC) philosophy with the District Health System (DHS) as the locus of delivery. However eye care services, particularly primary eye care, refractive error and low vision, have not been prioritised accordingly. Hence the aim of the Giving Sight to KwaZulu-Natal (GSKZN) project was to integrate the delivery of eye c...

Maine. The Center builds upon the Institute's strong record of research, policy analysis, and policy development that addresses critical problems in health care financing and delivery. The Maine Rural Health Research Center's mission is to inform health care policymaking and the delivery of rural health services through high quality, policy relevant research, policy analysis and technical assis...

The current trend towards restructuring to improve the standards and efficiency of public services in sub-Saharan Africa, within the framework of economic structural adjustment programmes, has stimulated debates and proposals regarding veterinary services in the region. Such debates sometimes neglect the fact that a number of different animal production systems may coexist within a single econo...

Following the British Government's implementation of policies to improve quality and introduce clinical governance into healthcare delivery in the late 1990s, the British Army commissioned a study into how primary healthcare for the Regular Army should best be delivered in UK. The study recommended a unitary command structure, with more central control based upon a model of a main headquarters ...

The health sector, a foremost service sector in Nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the Nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.Notwithstanding, there is evidence that the private sector could be a key...