In many countries people use a wide variety of market based providers
of health-related goods and services ranging from highly organised
and regulated hospitals and specialist doctors to informal health
workers and drug sellers operating outside the legal framework. The
boundary between public and private sectors is often very porous,
with people either paying government health workers informally or
consulting them outside their official hours. Unregulated markets, in
particular, raise problems in terms of safety, efficacy and cost.
Understanding health markets and improving system performance is
central to accelerating action to scale-up coverage and use of health
services and deliver improved outcomes against the health-related MDGs
and universal access commitments.
The latest (newly redesigned) edition of id21 insights 76, ‘Making
Health Markets Work for Poor People’, March 2009, is now available
for free:
* to read online www.id21.org/insights/insights76/index.html
* to download PDF www.id21.org/insights/insights76/insights76.pdf
Produced in collaboration with the Future Health Systems research
programme, this edition is guest edited by Hilary Standing and Gerry
Bloom, Institute of Development of Studies (IDS), UK, with academic
advice provided by Barbara McPake, Institute of International Health
and Development, Queen Margaret University, Edinburgh. This issue
addresses different aspects of markets for health-related goods and
services and emerging approaches for improving their performance. It
includes articles that focus on:
* The growing burden of chronic disease and new markets for
health-related goods and services.
* The development of retail pharmacy chains and the potential role of
this kind of private sector arrangement for exerting positive
influence over quality and price.
* How social entrepreneurship has developed a simple model for making
eyeglasses widely available to people in India.
* Strategies from Bangladesh, India and Nigeria to improve informal
provider performance, including the potential roles of associations
of providers and citizen
groups for monitoring performance.
* Opportunities and challenges associated with new information and
communication technologies and the proliferation of channels of
information and organisations producing health-related content.
* How health insurance can catalyse improvements in provider
behaviour by establishing a secure source of funding and exercising
the powers associated with strategic purchasing.
For print copies and a free subscription to future issues of id21
insights please email your full postal address to [log in to unmask]
quoting "id21 insights 76" and stating how many copies you would like
to receive (all id21 publications are free of charge).
Back issues are also available – see www.id21.org/insights/index.html
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