Better Health Systems for India's Poor: Findings, Analysis, and Options

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David H. Peters
World Bank Publications, Jan 1, 2002 - Health & Fitness - 347 pages
This report focuses on health sector reform and outlines some broad measures for reform in this sector. It evaluates policy options and presents the theory and evidence to support these policy choices. This report also offers specific proposals to improve health policy and strengthen implementation across India. It is a product of extensive consultation and research undertaken by more than a dozen institutions.
 

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Page 50 - The estimate for the number of hospitals and beds are based on the extent of under-estimation in government (CBH1) data found in Andhra Pradesh in a 1993 Census of all hospitals by the Director of Health Services and the Andhra Pradesh Vaidya Vidhan Parishad. They found 2,802 hospitals and 42,192 hospital beds in the private sector in Andhra Pradesh as against only 266 hospitals and 11 ,103 beds officially reported by CBH1 in that year.
Page 335 - The health services should be placed as close to the people as possible in order to ensure the maximum benefit to the communities to be served. The units of health administration should, therefore, be made as small as is compatible with practical considerations.
Page 50 - Intelligence [CBHI]) data found in Andhra Pradesh in a 1993 census of all hospitals by the Director of Health Services and the Andhra Pradesh Vaidya Vidhan Parishad; they found 2,802 hospitals and 42,192 hospital beds in the private sector in Andhra Pradesh as against only...
Page 297 - Constitution,8 and have been active in defining the boundaries of medical negligence. The law is much stronger on paper than in practice, however, because of weak enforcement and long delays in judicial proceedings.
Page 254 - A key feature of successful contributory insurance schemes for the informal sector is their organization around an association based on trust and mutual support (professional group, village) and the administrative capacity to collect contributions and provide benefits.
Page 7 - It is lower than what most low-income countries spend, and it is far below what is needed to provide basic health care to the population.
Page 52 - Indigenous and folk practitioners, along with traditional providers, are particularly used as a first line of outpatient treatment in rural areas (Rohde and Viswanathan 1995).
Page 222 - For the nation as a whole, the poorest 20 percent of the population captured only about 10 percent of the total net public subsidy from publicly provided clinical services (figure 7.4). The richest quintile received more than the three times the subsidy received by the poorest quintile, indicating that publicly financed curative care services are unambiguously pro-rich.
Page 50 - Estimated population per bed 693 Percentage of beds in private sector 64 PHCs Total number 22,975 Rural population per PHC 27,364 Note: PHCs, primary health centers.
Page 51 - However, many doctors employed in the public sector also work in the private sector, with one study in Delhi showing 85 percent of public sector doctors also practicing in the private sector (Chawla 2000).