Neoliberal reforms lead to deep changes in healthcare systems around the world, on account of their emphasis on free market rather than the right to health. People with disabilities can be particularly disadvantaged by such reforms, due to their increased healthcare needs and lower socioeconomic status. In this article, we analyse the impacts of neoliberal reforms on access to healthcare for di...

Externally supported Public financial management (PFM) reforms often have limited success in developing countries. The reforms commonly introduce new laws and systems that are not fully implemented or used, especially by distributed agents—budgeters, accountants, and such in sector ministries, provinces, and districts. This article asks why this should be expected and what could be done about i...

The recent phase of power sector reforms has focused on distribution reforms, under the APDRP, and Information Technology (IT) is seen as a savior for the power industry, whereby advanced technologies such as digital metering will bring in much greater efficiency, theft reduction, and collection. While somewhat true, it is important to recognize that not all IT based solutions are equal, and po...

Information Systems (IS) innovation in healthcare is a contested area often characterized by complex and conflicted relationships among different stakeholders. This paper aims to provide a systematic understanding of the mechanisms through which competing visions about health sector reforms are translated into policy and action generating contradictions in IS innovation. The paper argues that w...

BACKGROUND Despite the expanding literature on how reforms may affect health workers and which reactions they may provoke, little research has been conducted on the mechanisms of effect through which health sector reforms either promote or discourage health worker performance. This paper seeks to trace these mechanisms and examines the contextual framework of reform objectives in Uganda and Ban...

BACKGROUND In Nigeria, several challenges have been reported within the health sector, especially in training, funding, employment, and deployment of the health workforce. We aimed to review recent health workforce crises in the Nigerian health sector to identify key underlying causes and provide recommendations toward preventing and/or managing potential future crises in Nigeria. METHODS We ...

The article discusses the health care reforms that have been underway in Mexico since 1982. The process is examined as a socio-political phenomenon whose dynamics and nature are the products of past and present conflicts regarding technical and social-work projects, which constitute reflections of certain views of the future. The text first looks at the government-engendered power structure tha...

Primary Health Care (PHC) is expected to serve as a basis for the countrychr('39')s health sector, of which it is the primary responsibility and priority, as well as the communitychr('39')s overall collective and economic prosperity. Promotion of food supply and proper nutrition are among eight elements of PHC. Protein deficiency is one of the most important health concerns in some parts of the...

Jo Ivey Boufford, a paediatrician and formerly President of New York City public hospital system spent almost four years working in the UK, 20 months as Director of the King's Fund College. She returned to the United States in September 1993 and now has a pivotal role in developing and implementing the public health care sector as part of the Clinton reforms. Below are some of her reflections o...

Liberalisation has had a marked effect on innovative activities in the electricity industry. R&D and patenting activities are generally regarded respectively as innovative inputs to and outputs from technological progress. Electricity reforms have resulted in a reduction in R&D spending in the sector. This paper examines the effect of the reforms on patenting activity in the UK electricity sect...