Health sector reform in the past decade has tended to focus on remodelling institutional relations and changing methods of health system financing. Little attention has been paid to human resources. This paper focuses on one category of health sector staff, health managers and planners, and the tens
Recurrent costs in the health sector of developing countries
โ Scribed by Catriona Waddington; Margaret Thomas
- Publisher
- John Wiley and Sons
- Year
- 1988
- Tongue
- English
- Weight
- 940 KB
- Volume
- 3
- Category
- Article
- ISSN
- 0749-6753
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โฆ Synopsis
Widespread concern exists about the recurrent cost problems faced in the health sector of developing countries, and about the difficulties likely to be faced in the 1990s and beyond in seeking t o expand further the movement to primary health care. The article accepts that the problem is a real one, and seeks first to define and measure it, and to put together some of the evidence on the scale of the problem. Next, the analysis involves an examination of its causes, and hence its solutions, exploring in some detail issues of budgetary control, management decision making, project selection, and the prospects for mobilizing additional recurrent funds to, and within, the health sector. The article concludes by drawing attention t o the complex aetiology of the recurrent cost problem, and offers a five-point plan of action if the problem is to be tackled seriously.
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