Delivering Quality Primary Health Care: Who should pay and how?

Jun 20, 2008

The May issue of id21 insights explores the challenges facing donors and national governments in providing and financing primary health care for all. Some of the important insights include:

  • In most low income countries, methods of achieving good quality PHC for those living in poverty have not been identified (Barbara McPake).
  • Staff motivation and ultimately staff performance are associated with the availability of other necessary resources, such as drug supplies, for service delivery (Eilish Mcauliffe). See our previous post for an opposing point of view.
  • Contracting out PHC may increase efficiency, quality and coverage. Yet, strong government capacity, often lacking in low- and middle-income countries, is required in managing these contracts (Maureen Lewis).
  • Given the high dependency of low income countries on aid, methods of aid delivery are central to the debate on how best to finance PHC (Freddie Ssengooba).

This issue also features short case studies on Indonesia (health systems), Malawi (staffing) and Uganda (donor assistance).

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