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Books > Social sciences > Politics & government > Central government > Central government policies
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Governing Health Systems in Africa (Paperback)
Loot Price: R1,227
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Governing Health Systems in Africa (Paperback)
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Drawing on various disciplinary perspectives, this book re-focuses
the debate on what makes a good health system, with a view to
clarifying the uses of social science research in thinking about
health care issues in Africa. The explosion of the HIV/AIDS
pandemic, the persistence of malaria as a major killer, and the
resurgence of diseases like tuberculosis which were previously
under control, have brought about changes in the health system,
with implications for its governance, especially in view of the
diminished capacity of the public health facilities to cope with a
complex range of expanded needs. Government responsibilities and
objectives in the health sector have been redefined, with private
sector entities (both for profit and not-for profit) playing an
increasingly visible role in health care provisions. The reasons
for collaborative patterns vary, but chronic under-funding of
publicly financed health services is often an important factor.
Processes of decentralisation and health sector reforms have had
mixed effects on health care system performance; while private
health insurance markets and private clinics are pointers to a
growing stratification of the health market, in line with the
intensified income and social differentiation that has occurred
over the last two decades.These developments call for health sector
reforms.
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