This paper uses a difference-in-difference style estimation strategy to test separately the impact of competition from public sector and private sector hospitals on the efficiency of public hospitals. Our identification strategy takes advantage of the phased introduction of a recent set of substantive reforms introduced in the English NHS from 2006 onwards. These reforms forced public sector he...

The objectives of this paper are to review the monetary and financial sector reforms in India, identify the emerging issues and explore the prospects for further reform. The first part is devoted to a brief background on the need for reforms taken up in 1991-92. The second part is devoted to the institutional aspects of the reform. Issues relating to ownership, competition and regulation in the...

In this study we estimate technical efficiency of Indian commercial banks from 19892009 using a multiple-output generalized stochastic production frontier, and analyze the effects of financial sector reforms on measured efficiency. This generalized technique estimates technical efficiency in the presence of multiple outputs, filling a gap in the existing literature. Our results show that Indian...

BACKGROUND In recent years, the main focus of health sector reforms in Iran is the family physician and referral system plan. Fundamental changes in the goals and strategies, has increased the necessity of the need to reform the organizational structure. This study tries to review and summarize all cases about the organizational structure of Iran and its challenges in primary health care system...

Contracts for the delivery of public services are promoted as a means of harnessing the resources of the private sector and making publicly funded services more accountable, transparent and efficient. This is also argued for health reforms in many low- and middle-income countries, where reform packages often promote the use of contracts despite the comparatively weaker capacity of markets and g...

BACKGROUND The Ugandan government recognizes mental health as a serious public health and development concern, and has of recent implemented a number of reforms aimed at strengthening the country's mental health system. The aim of this study was to provide a profile of the current mental health policy, legislation and services in Uganda. METHODS A survey was conducted of public sector mental ...

The tax structure in Niger depends heavily on uranium mining and the rest of the formal sector. The slump in uranium prices has reduced tax revenues to 9% of GNP, which is not enough to finance an adequate level of public services. In this paper, tax reforms are considered which will raise more revenue while respecting criteria of equity, efficiency, and growth. The reforms mostly involve exten...

Introduction One of the key themes of this book is whether and to what extent health sector reform (HSR) in Africa has in effect caused more harm than good in relation to sexual and reproductive health and rights (SRHR). This introduction explores the dominant HSR movement, reviews the African context within which reforms have been implemented and begins to examine the interrelationship between...

This article discusses several key concepts for human resources policy in health in the context of Latin America's regional integration efforts. The article focuses on different concepts of integration to emphasize the analytical distinction between regional and conceptual integration. It also presents labor and human resources concepts before discussing, in the final analysis, the challenges t...