A common approach to reform has been to identify problems in the system which cause inefficiencies, ineffectiveness, and insufficient coverage, and then define solutions. The approach applied in Zambia has rather been to define standards for a cost-effective system which would be financially sustainable, and then to determine how to move from the existing system to the more cost-effective one envisioned. This has resulted in an approach notable for its comprehensiveness, the extent to which every aspect of the system has been open to consideration, and the unique partnership formed with the donor community. Zambia's health care system offers tangible evidence that national commitment can spur the transition from rhetoric to actual reform.
Details
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Author
McLaughlin, Julie
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Document Date
1995/10/01
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Document Type
Brief
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Report Number
23112
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Volume No
1
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Total Volume(s)
1
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Country
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Region
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Disclosure Date
2006/09/01
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Disclosure Status
Disclosed
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Doc Name
La reforme du systeme de soins de sante en Zambie
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Keywords
Health care; Health care quality; Cost effectiveness; Health reform; Recurrent costs; Health finance,
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Citation
McLaughlin, Julie
Health care in Zambia : reforming the system : La reforme du systeme de soins de sante en Zambie (French). Africa Region findings ; no. 43 Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/122511468171546331/La-reforme-du-systeme-de-soins-de-sante-en-Zambie