geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Making health markets work better for poor people: the case of informal providers


, : Making health markets work better for poor people: the case of informal providers. Health Policy and Planning 26 Suppl 1: I45-I52

There has been a dramatic spread of market relationships in many low- and middle-income countries. This spread has been much faster than the development of the institutional arrangements to influence the performance of health service providers. In many countries poor people obtain a large proportion of their outpatient medical care and drugs from informal providers working outside a regulatory framework, with deleterious consequences in terms of the safety and efficacy of treatment and its cost. Interventions that focus only on improving the knowledge of these providers have had limited impact. There is a considerable amount of experience in other sectors with interventions for improving the performance of markets that poor people use. This paper applies lessons from this experience to the issue of informal providers, drawing on the findings of studies in Bangladesh and Nigeria. These studies analyse the markets for informal health care services in terms of the sources of health-related knowledge for the providers, the livelihood strategies of these providers and the institutional arrangements within which they build and maintain their reputation. The paper concludes that there is a need to build a systematic understanding of these markets to support collaboration between key actors in building institutional arrangements that provide incentives for better performance.

US$19.90

PMID: 21729917

DOI: 10.1093/heapol/czr025


Other references

Pawelczyk, M.; Baj, Z.; Chmielewski, H.; Kaczorowska, B.; Klimek, A., 2008: The influence of hyperlipidemia on platelet activity markers in patients after ischemic stroke. To investigate the relationship between hyperlipidemia and platelet activation markers--platelet and soluble P-selectin (sP-selectin), and platelet-derived microparticles (PDMPs)--in patients after ischemic stroke. 41 patients after ischemic strok...

Shaw P.B., 1984: Surface charge model for calculating di electric behavior. Biophysical Journalpart 2: 252a

Noma, A.; Netsu, K.; Okabe, H.; Ueno, Y.; Shinohara, H., 1979: Simultaneous determination of HDL- and LDL-cholesterol concentrations. Rinsho Byori. Japanese Journal of Clinical Pathology 27(11): 1037-1041

DePolo Craig M.; Ramelli Alan R., 1987: Geometry of strike-slip faulting related to the 1932 Cedar Mountain earthquake, central Nevada. Abstracts with Programs Geological Society of America: , Pages 371. 1987.

Aqil M.; Rahman W.; Hasaka N.; Okigawa M.; Kawano N., 1981: A c methyl bi flavone from cephalotaxus harringtonia. 6-C-Methyl-7-O-methylamentoflavone isolated from the leaves of C. harringtonia K. Koch (Cephalotaxaceae) was identified on the basis of the spectral data of its hexamethyl ether and its penta-acetate. The location of the C-methyl group was first d...

Ellender, R.D.; Sharp, S.L.; Comar, P.G.; Tettleton, R.P., 1993: Rapid methods to evaluate the bacteriological quality of frozen crabmeat. The standard methods plate count (SMPC) of frozen crabmeat samples was compared with counts of two alternative aerobic plate count methods (Redigel, Petrifilm). The differences in counts were compared after incubation at two temperatures (35 degre...

Hillier, S.G., 1981: Regulation of follicular oestrogen biosynthesis: a survey of current concepts. Journal of Endocrinology 89 Suppl: 3p-18p

Pepiński, W.; Sołtyszewski, I.; Janica, J.; Skawrońska, Młgorzata.; Koc-Zórawska, E., 2003: Comparison of five commercial kits for DNA extraction from human blood, saliva and muscle samples. DNA can be isolated from a variety of human sample sources including anti-coagulated whole blood, bloodstains, hairs, tissue samples and buccal epithelial cells. The purpose of the study was to compare yield and quality of DNA samples obtained wit...

Hayashi Smith Joan; Mouginis Mark Peter J., 1990: Morphometry of fresh impact craters in Hesperia Planum, Mars. Abstracts of Papers Submitted to the Lunar and Planetary Science Conference 21: 475-476

Coulthard Tom J.; Macklin Mark G.; Kirkby Mike J., 2001: Modelling the impacts of different flood magnitudes and frequencies on catchment evolution. Pages 485-503 2001