Health Sector, State and Decentralised Institutions in India

Health Sector, State and Decentralised Institutions in India

Author: Shailender Kumar Hooda

Publisher: Routledge India

Published: 2022

Total Pages: 254

ISBN-13: 9781032108438

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"This book describes the transition in Indian healthcare system since independence and contributes to the ongoing debate within development and institutional economics on the approaches towards reform in the public health system. The institutional reform perspective focuses on examining the effective utilisation of allotted resources and improvements in delivery through decentralisation in governance by ensuring higher participation of elected governments and local communities in politics, policymaking and delivery of health services. It discusses the economic (resource) reforms to explain the relevance and expansion of state interventionism along with its influence on the health sector, accountability and allocative efficiency. The author also explores the connections between neoliberal thought and privatisation in health sector, and examines the greater role of insurance-based financing and their implications for health service access and delivery. The book offers ways to address long-standing systemic and structural problems that confront the Indian healthcare system. Based on large-scale surveys and diverse empirical data on the Indian economy, this book will be of great interest to researchers, students and teachers of health economics, governance and institutional economics, political economy, sociology, public policy, regional studies and development studies. This will be useful to policymakers, health economists, social scientists, public health experts and professionals, and government and nongovernment institutions"--


Urban Health and Wellbeing

Urban Health and Wellbeing

Author: Aakriti Grover

Publisher: Springer Nature

Published: 2019-10-25

Total Pages: 299

ISBN-13: 9811366713

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This book focuses on interdisciplinary issues of human health in the changing urban environments of India’s largest megacities—Delhi and Mumbai. The authors explore human health concerns related to increased temperatures and air pollution in these cities in a study based on primary data collected through interviews, as well as secondary data on causes of mortality from 2001 to 2012. During this period, the surface temperatures for both megacities were mapped using Landsat Images. The rapidly increasing populations of cities and urban centers alter ecosystem services such as water, air and land cover, with disastrous impacts on health and wellbeing, particularly in megacities. In 2015, polluted air was estimated to have been responsible for 6.4 million deaths worldwide, and it is projected that it will cause between 6 and 9 million deaths per year by 2060. In 2017, outdoor air pollution resulted in 1.2 million deaths in India and brought about a 3% loss in GDP. The increase in population, vehicles, and industries has led to changes in land use and land cover and a rise in city temperatures and air pollution, creating urban heat islands (UHIs). Together, UHIs and air pollution have damaging impacts on human health that range from stress and headache to asthma, bronchitis, and chronic diseases, and even to death. Delhi has been experiencing emergency conditions in terms of environmental health over the past two years. At the same time, both the Delhi and Mumbai urban agglomerations are growing at a rapid pace, and the United Nations has projected that they will be the second and third most populous cities in the world by 2025. In this context, the book offers significant insights into the past patterns and responses to the present global urban health emergencies, and explores sustainable means of combating the problem to enable college and university researchers to develop innovative solutions. Further. It presents trans-disciplinary research that cuts across the WHO Action Plan, the Sustainable Development Goals, the Sendai Framework for Disaster Risk Reduction, and Habitat III to help policymakers gain a better understanding of the global challenges of urban health and wellbeing. The book is especially useful for students and researchers in geography, urban demography, urban studies, environmental studies, health sciences, and policy studies.


Tracking Resources For Primary Health Care: A Framework And Practices In Low- And Middle-income Countries

Tracking Resources For Primary Health Care: A Framework And Practices In Low- And Middle-income Countries

Author: Hong Wang

Publisher: World Scientific

Published: 2020-06-03

Total Pages: 445

ISBN-13: 9811212422

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The global health community is broadly in agreement that achievement of the health-related Sustainable Development Goals (SDGs) hinges upon both an escalation of the financial resources dedicated to primary health care (PHC) and a more effective use of those resources: more money, better spent. This book introduces and explicates the end-to-end resource tracking and management (RTM) framework, which includes five components that determine effective and efficient financing for PHC: resource mobilization, allocation, utilization, productivity, and targeting.In addition, this book compiles detailed results from the most recent RTM-based resource tracking efforts for PHC in selected countries. This is to demonstrate how the RTM framework can be used to bring a set of separate resource tracking efforts at different stages of flow of funds into a comprehensive process with an end-to-end 'storyline'. In order to build a functional PHC system that addresses access, quality, and equity issues, this book highlights the key (public) financing issues that researchers, technical advisors, and policy makers would need to address in addition to more resources.


Government-Sponsored Health Insurance in India

Government-Sponsored Health Insurance in India

Author: Gerard La Forgia

Publisher: World Bank Publications

Published: 2012-09-14

Total Pages: 446

ISBN-13: 0821396196

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This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed.


Impact Evaluation in Practice, Second Edition

Impact Evaluation in Practice, Second Edition

Author: Paul J. Gertler

Publisher: World Bank Publications

Published: 2016-09-12

Total Pages: 444

ISBN-13: 1464807809

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The second edition of the Impact Evaluation in Practice handbook is a comprehensive and accessible introduction to impact evaluation for policy makers and development practitioners. First published in 2011, it has been used widely across the development and academic communities. The book incorporates real-world examples to present practical guidelines for designing and implementing impact evaluations. Readers will gain an understanding of impact evaluations and the best ways to use them to design evidence-based policies and programs. The updated version covers the newest techniques for evaluating programs and includes state-of-the-art implementation advice, as well as an expanded set of examples and case studies that draw on recent development challenges. It also includes new material on research ethics and partnerships to conduct impact evaluation. The handbook is divided into four sections: Part One discusses what to evaluate and why; Part Two presents the main impact evaluation methods; Part Three addresses how to manage impact evaluations; Part Four reviews impact evaluation sampling and data collection. Case studies illustrate different applications of impact evaluations. The book links to complementary instructional material available online, including an applied case as well as questions and answers. The updated second edition will be a valuable resource for the international development community, universities, and policy makers looking to build better evidence around what works in development.


Leadership by Example

Leadership by Example

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2003-05-21

Total Pages: 206

ISBN-13: 0309168880

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The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.


What's In, What's Out

What's In, What's Out

Author: Amanda Glassman

Publisher: Brookings Institution Press

Published: 2017-10-10

Total Pages: 449

ISBN-13: 1944691057

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Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without risk of impoverishment. But for universal health coverage to become reality, the health services offered must be consistent with the funds available—and this implies tough everyday choices for policymakers that could be the difference between life and death for those affected by any given condition or disease. The situation is particularly acute in low- and middle income countries where public spending on health is on the rise but still extremely low, and where demand for expanded services is growing rapidly. What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time.