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In This Chapter
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Attacking Inequality in Health
- Data and assumptions
- A complex and contextual problem
- A menu of proven pro-poor health-sector policies
- Analysing the causes of inequality
- Customising answers to address local constraints and capacities
- Trying out new ways of doing business
- Improving the results over time by learning from pilots and experimentation
- Verifying that the use of services by the poor is improving, and bottlenecks are being eliminated
- Revenue generation: delink payment by the poor from use of services
- Resource allocation: make the money follow the poor
- Provider payment mechanisms: link provider payment to utilisation by the poor
- Organisational reforms: close the distance between the poor and services
- Regulation reforms: amplify the voice of the poor
- Persuasion/behaviour change: close the gap between need and demand by the poor
- Hope and hard work
- Notes
- References
Abstract
This chapter reviews the growing body of literature on tackling inequality in the health sector, 1 with a specific focus on inequality in the use of health services, and on the evidence to date of successful policies addressing health inequalities in low-and middle-income countries (LMIC).
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