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India - New directions in health sector development at the state level : an operational perspective (English)

This report focuses on the state level in financing, provision and implementation of health care services. It is a follow-up to the earlier sector report: India: Policy and Finance Strategies for Strengthening Primary Health Care Services, (report no. 13042-IN). The report provides a comparative review of the initiatives underway in the four states of Andhra Pradesh, Karnataka, Punjab and West Bengal. The agenda proposed is incremental and modest, but is critical for setting the stage to address improvements in health care services without substantially increasing costs. It addresses system issues and options that states face for strengthening institutional capacity and implementing a program of health reform in selected areas. The report makes the following specific recommendations: reorient the health care strategy, coordinate public and private sectors roles, strengthen state financing arrangements for the health sector, enhance and prioritize state expenditures on health, implement cost-recovery mechanisms, improve the analytical basis for decision making, and strengthen public sector management of health care.


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    Pre-2003 Economic or Sector Report

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    South Asia,

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    India - New directions in health sector development at the state level : an operational perspective

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    Population and Human Resources;gnp per capita growth rate;basic package of health services;maternal and child health;access to primary health care;Information, Education and Communication;burden of disease;reserve bank of india;decentralization of health care;financing of health care;level of health care;total labor force;quality of health services;life expectancy at birth;health care system;cost-effectiveness of interventions;health care service;health sector development;private health services;per capita expenditure;Health Care Delivery;share of state;panchayati raj institution;health care provision;allocation of resource;health care financing;public health messages;standard of care;provision of service;alternative financing mechanism;private health care;financing health care;health care planning;tertiary health care;point of collection;health care program;operations and maintenance;infectious disease control;health care needs;areas of health;managed health care;average exchange rate;preventive health services;per capita gnp;length of stay;health care utilization;cost recovery rate;quality of care;improvements in health;cost of treatment;health education activities;population growth rate;public health service;real growth rate;health promotion program;health care facilities;basic health care;increasing tax revenue;community level organizations;health care management;expenditure health;dual exchange rate;management and administration;social insurance scheme;demand for service;share of resource;private health expenditure;public health problem;level of private;health care facility;increase tax revenue;births per woman;foreign exchange transaction;process of reform;secondary level;health program;essential supplies;rural area;clinical service;disease pattern;tertiary level;health facility;health interventions;state health;state finance;public expenditure;family welfare;state expenditure;government resource;medical personnel;comparative advantage;private insurance;financial situation;supplementary financing;fiscal structure;fiscal tool;live birth;Exchange Rates;non-governmental organization;Health policies;welfare program;health budget;management authority;domestic product;contractual arrangement;free market;health status;headcount index;community hospital;technical department;institutional strengthening;remote area;management skill;private provider;positive externality;Contracting Out;administrative procedure;referral service;professional body;pricing policy;vulnerable group;targeting mechanism;adequate resources;community financing;resource constraint;accounting structure;recurrent budgets;salary cost;planning capacity;increasing share;staff salary;infrastructure requirement;referral system;sector budget;medical education;heart attack;health department;administrative cost;institutional framework;medical treatment;rural health;crude petroleum;analytical capacity;constant price;legal barrier;cost containment;net capital;management capacity;health finance;government staff;poor attendance;urban sector;tertiary hospitals;market rate;social marketing;Essential Drugs;budgetary allocation;income indicator;high poverty;tertiary care;adequate funds;manpower planning;debt outstanding;future need;donor community;public debate;budget allocation;health transition;increasing incidence;state revenue;private hospitals;state share;epidemiological indicators;social security;preventive care;organizational structure;Natural Resources;national income;government sector;state policy;young child;preventable mortality;greater access;consumer satisfaction;income household;structural adjustment;health needs;curative care;fertility reduction;Infant Mortality;budgetary resource;future trends;operational issues;decentralized governance;limited capacity;health committee;record keeping;voluntary service;administrative structure;analytical tool;trade balance;public action;cost-effective intervention;allocation policy;workforce issues;medical service



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India - New directions in health sector development at the state level : an operational perspective (English). Washington, D.C. : World Bank Group.