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Global Health in Transition: A Synthesis Perspectives from International Organizations (1996) / Chapter Skim
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World Development Report 1993: Investing in Health
Pages 14-19

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From page 14...
... More than a dozen bilateral and multilateral foreign assistance agencies, foundations, and academic institutions provided financial and analytical support, and the process involved more than 600 individuals from many disciplines, countries, and institutional venues. The document includes extensive tabular material and a large bibliography of original papers and statistical analyses, as well as many academic and institutional sources, published and unpublished.
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From page 15...
... There are serious new health challenges: mounting burdens of human immunodeficiency virus and AIDS and other emerging and reemerging infectious diseases; an increasing number of drug-resistant strains that cause disease; significant increases in noncommunicable diseases; violence; and continued use of health-damaging substances such as tobacco. • All of these will make new demands on health care systems as mortality rates decrease and populations age.
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From page 16...
... 2. Improving government spending on health: -- reduce government expenditures on tertiary care; -- finance and implement a package of public health interventions; -- finance and ensure delivery of a package of essential clinical services; and
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From page 17...
... • For developing countries, the WDR suggests a range of health policy reforms: 1. Low-income countries: -- provide primary school for all children, especially girls; -- invest in cost-effective public health measures; -- shift health spending for clinical services from tertiary to district health facilities; -- reduce waste and inefficiency in government health programs; and -- encourage community control and financing of essential health care.
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From page 18...
... The WDR lays out a reasoned package of ideas for health development that deserve consideration by donors and national policy makers, pointing out that they will have to wrestle with the reality that, in the health sector, there is no simple paradigm for policy choice. Both free markets and public sectors may fail in attempts to provide public health activities and clinical care, so that effectiveness in this arena will require strong private and public institutions, which are seriously lacking in many developing countries.
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From page 19...
... Some will be able to adapt and adopt these approaches fairly straightforwardly into system design, financing, and management; others, principally lower-income countries, will not. Thus, strengthening capacity to absorb the concepts and approaches described in the WDR could be a logical part of a next agenda in health development.
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Key Terms

  • development report
  • world development
  • health measures
  • global burden
  • health sector

  • health research
  • direct role
  • essential clinical
  • insurance market
  • life due

  • premature death
  • healthy life
  • market failure
  • combines loss
  • health interventions

  • health goes
  • expand health
  • government efforts
  • public sector
  • provide public

  • assure equity
  • international health
  • private market
  • extensive tabular
  • unprecedented involvement

  • provided financial
  • thoughtful training
  • process involved
  • public finance
  • single sector


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