Improving Health Service Delivery in Developing Countries: From Evidence to Action (Directions in Development)

366 Pages·2009·1.515 MB·English

by  David H. Peters

DIRECTIONS IN DEVELOPMENT
Human Development
Improving Health
Service Delivery in
Developing Countries
From Evidence to Action
David H. Peters, Sameh El-Saharty, Banafsheh Siadat,
Katja Janovsky, Marko Vujicic,
Editors

Improving Health Service Delivery
in Developing Countries

Improving Health Service
Delivery in Developing
Countries
From Evidence to Action
Editors
David H. Peters
Sameh El-Saharty
Banafsheh Siadat
Katja Janovsky
Marko Vujicic
© 2009 The International Bank for Reconstruction and Development / The World Bank
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Washington DC 20433
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ISBN: 978-0-8213-7888-5
eISBN: 978-0-8213-7943-1
DOI: 10.1596/978-0-8213-7888-5
Cover photo: © World Bank/Tran Thi Hoa
Library of Congress Cataloging-in-Publication Data
Improving health service delivery in developing countries : from evidence to action / edited by
David H. Peters ... [et al.].
p. ; cm. — (Directions in development)
Includes bibliographical references and index.
ISBN 978-0-8213-7888-5 (alk. paper)
1. Medical care—Developing countries. 2. Public health—Developing countries. 3. Health
services accessibility—Developing countries. I. Peters, David H., 1962- II. World Bank III. Series:
Directions in development (Washington, D.C.)
[DNLM: 1. Delivery of Health Care. 2. Developing Countries. 3. Evaluation Studies as Topic.
4. Health Services. 5. Outcome and Process Assessment (Health Care) WA 395 I343 2009]
RA441.5.I47 2009
362.109172'4—dc22
2009008335
Contents
Preface xiii
Acknowledgments xv
About the Editors xvii
Abbreviations xxi
Overview 1
Health Services and the Challenge of
Implementation 2
Common Strategies to Strengthen Health Services 4
Framework 5
How to Gain Knowledge on Strengthening Health
Services 8
Overview of the Studies 24
Notes 31
References 31
Chapter 1 Review of Strategies to Strengthen Health Services 35
John Ovretveit, Banafsheh Siadat, David H. Peters,
Anil Thota, and Sameh El-Saharty
Reasons for Conducting the Review 36
v
vi Contents
Objectives of the Review 36
Methods Used 37
Main Findings 37
Main Limitations 47
Implications for Decision Makers 51
References 51
Annex 1.1 Electronic Databases Searched 52
Annex 1.2 Key Search Terms 52
Annex 1.3 Studies Reviewed 54
Chapter 2 Review of Strategies to Strengthen the
Performance of Health Organizations 69
Anbrasi Edward, David H. Peters, Amy Daniels,
Yong Rang, and Toru Matsubayashi
Reasons for Conducting the Review 70
Objectives of the Review 72
Methods Used 72
Main Findings 75
Main Limitations 77
Implications for Decision Makers 81
References 82
Annex 2.1 Outcome Measures of Selected Health
Organization Performance Models 84
Annex 2.2 Key Search Terms 86
Annex 2.3 Studies Reviewed 92
Chapter 3 Review of Strategies to Improve Health Care
Provider Performance 101
Alexander K. Rowe, Samantha Y. Rowe,
Marko Vujicic, Dennis Ross-Degnan, John Chalker,
Kathleen A. Holloway, and David H. Peters
Reasons for Conducting the Review 102
Objectives of the Review 103
Methods Used 103
Main Findings 104
Main Limitations 108
Implications for Decision Makers 108
Notes 109
Contents vii
References 109
Annex 3.1 Databases Searched 111
Annex 3.2 Key Search Terms in a Medline Search 112
Annex 3.3 Studies Included in the Review 117
Chapter 4 Review of Community Empowerment Strategies
for Health 127
Bahie Rassekh and Nathanial Segaren
Reasons for Conducting the Review 128
Objectives of the Review 128
Methods Used 129
Main Findings 130
Main Limitations 139
Implications for Decision Makers 140
Reference 141
Annex 4.1 Electronic Databases Searched 141
Annex 4.2 Studies Reviewed 142
Chapter 5 Analysis of Cross-country Changes in
Health Services 173
Toru Matsubayashi, David H. Peters, and
Hafiz Rahman
Reasons for Conducting the Study 174
Objectives of the Study 176
Methods Used 177
Main Findings 178
Main Limitations 189
Implications for Decision Makers 191
Note 192
References 192
Chapter 6 Institutional Context of Health Services 203
Gerry Bloom, Hilary Standing, and Anu Joshi
Reasons for Conducting the Review 204
Objectives of the Review 204
Methods Used 205
What Are the Main Limitations, Findings, and
Implications? 205
viii Contents
Note 213
References 213
Chapter 7 Evaluation of Changes in Health Results in
World Bank-assisted Health Projects 217
Savitha Subramanian and David H. Peters
Reasons for Conducting the Review 218
Objective of the Review 220
Methods Used 221
Main Findings 223
Main Limitations 224
Implications for Decision Makers 226
Notes 227
References 227
Chapter 8 Seven Country Case Studies 233
Sameh El-Saharty, Katja Janovsky,
Banafsheh Siadat, and Finn Schleimann
Introduction 234
Research Questions 235
Methods 236
Limitations 237
Country Findings 238
Key Implementation Factors and
Lessons Learned 263
Concluding Thoughts 272
Note 273
References 274
Chapter 9 From Evidence to Learning and Action 277
David H. Peters, Sameh El-Saharty, and
Katja Janovsky
Findings 277
How to Improve Implementation 281
Notes 294
References 295
Glossary 297
Index 331