Thomas (2009) demonstrated in his article that, in many developing nations at present, the government and the private sector provide health care jointly. Public health institutions are the only hope for the poor people. The majority of the developing nations are overwhelmed by problems of malnutrition and mass infections. Outbreaks of diarrhoeal diseases provide an evidence of the poor sanitation of the community and access to safe drinking water is unimaginable for millions even today. Using the examples of India, Thomas showed that they have some national level institutions providing postgraduate education and admirable patient care. Massive majority of Indians living in rural areas cannot afford the services of these hospitals. The private
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Main findings include a considerable decrease in public spending per capita throughout low-income countries between 1990-95; a significant shift towards private expenditures, which appears more and more to be replacing rather than supplement public expenditures. A reduced total and public health spending in many countries despite growth in national income, deny the relationship found in other studies. Two possible explanations are- First that the patterns found may be a consequence of the structural adjustment policies implemented by many developing countries, which intend to manage and often cut public financing as well as to promote private health expenditures. Second that implementing the policy of privatization of state industries, many governments are facing problems to get used to to their new role as a tax collector, and are thus not achieving economic growth to the extent that might be …show more content…
(2008) revealed in their article that people living in poor countries are likely to have less access to health services than those in developed countries, and within countries, the underprivileged class has less access to health facilities. This article documents inequality in access to health services in low- and middle-income countries (LMICs), via an outline incorporating quality, geographic accessibility, availability, financial accessibility, and acceptability of services. While the poor in LMICs are in a miserable condition in terms of each of the dimensions of access and their determinants, this need not be the case. Many different approaches engaging government, nongovernmental, or commercial organizations, and practicing various strategies to finance and organize services, have gained some access for poor to health care services. Key elements of success incorporate intensive efforts to reach the poor, involving communities and disadvantaged people, encouraging local adaptation, and careful monitoring of effects on the poor. Yet governments in LMICs hardly take account of the poor in their policies or the implementation or monitoring of health service strategies. There are also innovations in financing, delivery, and regulation of health services that are making attempts for improving access to the poor, such as the use of health equity funds, conditional cash transfers, and regulation of health services. The challenge to ensure the right of the
Main findings include a considerable decrease in public spending per capita throughout low-income countries between 1990-95; a significant shift towards private expenditures, which appears more and more to be replacing rather than supplement public expenditures. A reduced total and public health spending in many countries despite growth in national income, deny the relationship found in other studies. Two possible explanations are- First that the patterns found may be a consequence of the structural adjustment policies implemented by many developing countries, which intend to manage and often cut public financing as well as to promote private health expenditures. Second that implementing the policy of privatization of state industries, many governments are facing problems to get used to to their new role as a tax collector, and are thus not achieving economic growth to the extent that might be …show more content…
(2008) revealed in their article that people living in poor countries are likely to have less access to health services than those in developed countries, and within countries, the underprivileged class has less access to health facilities. This article documents inequality in access to health services in low- and middle-income countries (LMICs), via an outline incorporating quality, geographic accessibility, availability, financial accessibility, and acceptability of services. While the poor in LMICs are in a miserable condition in terms of each of the dimensions of access and their determinants, this need not be the case. Many different approaches engaging government, nongovernmental, or commercial organizations, and practicing various strategies to finance and organize services, have gained some access for poor to health care services. Key elements of success incorporate intensive efforts to reach the poor, involving communities and disadvantaged people, encouraging local adaptation, and careful monitoring of effects on the poor. Yet governments in LMICs hardly take account of the poor in their policies or the implementation or monitoring of health service strategies. There are also innovations in financing, delivery, and regulation of health services that are making attempts for improving access to the poor, such as the use of health equity funds, conditional cash transfers, and regulation of health services. The challenge to ensure the right of the