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International Health and Aid Policies : The Need for Alternatives - Jean-Pierre Unger

International Health and Aid Policies

The Need for Alternatives

Paperback

Published: 23rd September 2010
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International health and aid policies of the past two decades have had a major impact on the delivery of care in low-and middle-income countries. This book argues that these policies have often failed to achieve their main aims and have, in fact, contributed to restricted access to family medicine and hospital care.

Presenting detailed evidence, and illustrated case by case studies, this book describes how international health policies to date have largely resulted in expensive health care for the rich and disjointed, and ineffective services for the poor. As a result, large segments of the population worldwide continue to suffer from unnecessary casualties, pain and impoverishment.

International Health and Aid Policies arms health professionals, researchers and policy makers with strategies that will enable them to bridge the gaps between public health, medicine and health policy in order to support robust, comprehensive and accessible health care systems in any political environment.

'International Health and Aid Policies: The Need for Alternatives represents an important and comprehensive effort in gathering the evidence of the grave consequences on developing countries' health systems of some international health and aid policies that promote excessive reliance on disease specific programs and commercialised care. The book proposes alternative policy scenarios ... and highlights the key role of health system researchers in influencing the development of pro-equity international health policies and the evaluation of their impact. The thorough review of historic data and trend analysis will serve scholars and decision makers alike.' Mirta Roses, Pan American Health Organization, Regional Office of the World Health Organization
'Timing is everything in comedy and in scholarship. One cannot imagine a better timing for this book's publication. The title of the book promises to make a call for health services with a clear social mission; and this it fully delivers. Here is a book that paves the way in a direction using the right political analyses. It tells us that it has been donors who have pushed the patterns of commercialisation of health in poor countries; and that aid policies share a large responsibility for the breakdown of the health systems of many of the poor countries we currently see. It highlights the contradictions of public provision under the guise of commercialised health care looking at two decades of neoliberal policy that has systematically undermined access to quality health care services for a majority of the world population. This, it rightly claims, receives far too little attention in the literature. The book is clear about the need for a policy shift that re-establishes the right to access to quality healthcare. It proposes a health policy based on a political philosophy in an attempt to reconcile professional, cultural and political ethics. It clearly states that health policy is political in the sense that it refers to actions (deeds) meant to challenge the structures of power and social organisation from an ethical perspective. For all these reasons, the People's Health Movement feels the principles of its People's Charter for Health are here represented; our worldwide membership would want to read it.' Bridget Lloyd, People's Health Movement Co-ordinating Commission
'This important book challenges the dominant discourse on global health and the growing commoditization of health care to the detriment of poor people all over the world. The serious and evidence-based questions and facts raised by the authors on the relentless promotion of private sector growth in health must now be answered.' Anna Marriott, Development Finance and Public Services Team, Oxfam GB
'This book comes at a time of a highly needed reform in the Global Health Governance and the International Health Aid Architecture. The attention to health has been enhanced in global fora and health aid has tripled in the last decade. We all share responsibility and the challenge to address the highly fragmented health landscape. The EU is developing a new policy framework aimed at greater equity and coherence in the EU role in Global Health. The agreed global commitment to universal coverage rescuing the Alma-Ata principles and applying the principles of partnership and ownership to health in development aid, are clear opportunities. The reflections of this book will be a valuable reference for our debate and the enhanced EU role in the global health challenges.' Juan Garay, Public Health Physician, Health Team coordinator, DG Development, European Commission

Prefacep. vii
Biographiesp. ix
Noticesp. xv
Acknowledgementsp. xvii
List of abbreviationsp. xix
Reviewsp. xxiii
Introduction: Overview and purposep. xxv
Origins
Content
Relevance
Definitions
Paradigms of international policiesp. 1
Donor led policies: analysis of an underlying doctrinep. 3
The Achilles heel of international health policies in low- and middle-income countriesp. 16
The failure of the aid paradigm: poor disease control in developing countriesp. 35
Why do disease-control programmes require patients in health services to succeed in delivering? The case of malaria control in Malip. 37
How do disease-control programmes damage health care delivery in developing countries?p. 48
Privatization (PPM-DOTS) strategy for tuberculosis control: how evidence-based is it?p. 57
Impact of international health policies on access to health in middle-income countries: some experiences from Latin Americap. 67
Costa Rica: achievements of a heterodox health policyp. 69
Colombia: in vivo test of health sector privatization in the developing worldp. 83
Chile's neoliberal health reform: an assessment and a critiquep. 97
Determinants and implications of new liberal health policies: the case of India, China and Lebanonp. 107
Political and economic determinants of health care systems: the case of Indiap. 109
An economic insight into health care provision in six Chinese countries: equity in crisis?p. 123
Health care financing and delivery in the context of conflict and crisis: the case of Lebanonp. 138
Principles for alternative, publicly oriented health care policies, planning, management and deliveryp. 153
Paradigm shifts in the health sector: mission and methodsp. 155
The need to alter health systems' missions to deliver comprehensive care
The need for a methodological shift to determine priorities in health policies
Principles for an alternative, social and democratic health policyp. 164
Quality standards for health care delivery and management in publicly oriented health servicesp. 176
Principles of publicly oriented health planningp. 184
A code of good practice for the management of disease-control programmesp. 195
A public health, strategic toolkit to implement these alternativesp. 199
Person-centred care: a key to strengthening health care and systems in low- and middle-income countriesp. 201
Improving accessp. 210
Access to curative care in first-line health services: an experience in Ecuador
Improving access to drugs in publicly oriented services: an experience in Senegal
Improving clinical decision makingp. 225
Non-managed care techniques to improve clinical practice
Interface flow process audit. The patient's career as tracer of quality of care and system: an experience from Belgium
Reorienting academic missions: how can public health departments and public health teaching in particular best support access to good quality comprehensive health care?p. 240
Conclusionsp. 247
Glossaryp. 255
Indexp. 257
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780521174268
ISBN-10: 0521174260
Series: Cambridge Medicine (Paperback)
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 314
Published: 23rd September 2010
Publisher: Cambridge University Press
Country of Publication: GB
Dimensions (cm): 23.4 x 15.6  x 1.5
Weight (kg): 0.54