Public-sector health workers are vital to the functioning of health systems. We aimed to investigate pay structures for health workers in the public sector in sub-Saharan Africa; the adequacy of incomes for health workers; the management of public-sector pay; and the fiscal and macroeconomic factors that impinge on pay policy for the public sector. Because salary differentials affect staff migr...

In the last two decades, health sector decentralization policies have been implemented on a broad scale throughout the developing world, usually as part of a broader process of political, economic and technical reform (Litvack et al. 1998). This process has been fuelled by new efforts of democratization and processes for the ‘modernization’ of the state. These movements combined to promote acco...

OBJECTIVE To assess the existing situation relating to investments made by development partners in the health sector in Pakistan. METHODS This was a retrospective study completed over a period of 6 months in which financial data for the year July 2004 to June 2005 was collected. A uniform matrix was circulated to all the stakeholders in public sector and international donors who had a stake i...

The study is focused on the public-private partnership in health sector in Sri Lanka. As a developing country, Sri Lanka faces a challenging task in order to improve the infrastructure facilities of the country after ending the thirty years of war. There is a requirement to develop the country as a whole along with all the industries such as education, health, transport, agriculture, etc. to me...

Aim. Describe the mechanisms currently being used by federal and provincial/territorial governments, medical associations, and private insurers to control the cost of health care in our country. Methods. Descriptive method used. Statistics on percentage GDP spent on health, and health status of the population, were compared with other OECD countries. Questions discussed: importance of cost cont...

Background: South Africa is severely affected by the AIDS pandemic and this has resulted in an already under-resourced public sector being placed under further stress, while there remains a vibrant private sector. To address some of the resource and personnel shortages facing the public sector in South Africa, partnerships between the public and private sectors are slowly being forged. However,...

Given the problematic nature of attempts to reform national delivery systems for health care, the paper reviews the context and logic of reforms in the health sector. After a background on approaches to building capacity within three generations of public sector reforms, it examines the reforms applied to financing, organizing and delivering health services and suggests strategies for reform th...