The formal private sector could play a significant role in determining whether success or failure... more The formal private sector could play a significant role in determining whether success or failure is achieved in working towards goals for safe motherhood in many low- and middle-income settings. Established private providers, especially nurses/midwives, have the potential to contribute to safe motherhood practices if they are involved in the care continuum. However, they have largely been overlooked by policy-makers in low-income settings. The private sector (mainly doctors) contributes to overprovision and high Caesarean section rates in settings where it provides care to wealthier segments of the population; such care is often funded through third-party payment schemes. In poorer settings, especially rural areas, private nurses/midwives and the women who choose to use them are likely to experience similar constraints to those encountered in the public sector - for example, poor or unaffordable access to higher level facilities for the management of obstetrical emergencies. Policy...
A very large private health sector exists in low-income countries. It consists of a great variety... more A very large private health sector exists in low-income countries. It consists of a great variety of providers and is used by a wide cross-section of the population. There are substantial concerns about the quality of care given, especially at the more informal end of the range of providers. This is particularly true for diseases of public health importance such as tuberculosis, malaria, and sexually transmitted infections. How can the activities of the private sector in these countries be influenced so that they help to meet national health objectives? Although the evidence base is not good, there is a fair amount of information on the types of intervention that are most successful in directly influencing the behaviour of providers and on what might be the necessary conditions for success. There is much less evidence, however, of effective approaches to interventions on the demand side and policies that involve strengthening the purchasing and regulatory roles of governments.
... Over the subsequent five years, public expenditure, as a percentage of GNP, fell in eight of ... more ... Over the subsequent five years, public expenditure, as a percentage of GNP, fell in eight of these countries (World Bank 1997a). Between 1990 and 1995, the share of private expenditure rose in 15 of the 22 countries of Latin America (Govindaraj ct al. 1995). ...
This book chapter examines the aspects of tuberculosis contributing to its recent resurgence and ... more This book chapter examines the aspects of tuberculosis contributing to its recent resurgence and the contribution of the private sector in tuberculosis control in low-and middle-income countries. It discusses the comparative advantages and disadvantages of private providers and ...
The formal private sector could play a significant role in determining whether success or failure... more The formal private sector could play a significant role in determining whether success or failure is achieved in working towards goals for safe motherhood in many low- and middle-income settings. Established private providers, especially nurses/midwives, have the potential to contribute to safe motherhood practices if they are involved in the care continuum. However, they have largely been overlooked by policy-makers in low-income settings. The private sector (mainly doctors) contributes to overprovision and high Caesarean section rates in settings where it provides care to wealthier segments of the population; such care is often funded through third-party payment schemes. In poorer settings, especially rural areas, private nurses/midwives and the women who choose to use them are likely to experience similar constraints to those encountered in the public sector - for example, poor or unaffordable access to higher level facilities for the management of obstetrical emergencies. Policy...
A very large private health sector exists in low-income countries. It consists of a great variety... more A very large private health sector exists in low-income countries. It consists of a great variety of providers and is used by a wide cross-section of the population. There are substantial concerns about the quality of care given, especially at the more informal end of the range of providers. This is particularly true for diseases of public health importance such as tuberculosis, malaria, and sexually transmitted infections. How can the activities of the private sector in these countries be influenced so that they help to meet national health objectives? Although the evidence base is not good, there is a fair amount of information on the types of intervention that are most successful in directly influencing the behaviour of providers and on what might be the necessary conditions for success. There is much less evidence, however, of effective approaches to interventions on the demand side and policies that involve strengthening the purchasing and regulatory roles of governments.
... Over the subsequent five years, public expenditure, as a percentage of GNP, fell in eight of ... more ... Over the subsequent five years, public expenditure, as a percentage of GNP, fell in eight of these countries (World Bank 1997a). Between 1990 and 1995, the share of private expenditure rose in 15 of the 22 countries of Latin America (Govindaraj ct al. 1995). ...
This book chapter examines the aspects of tuberculosis contributing to its recent resurgence and ... more This book chapter examines the aspects of tuberculosis contributing to its recent resurgence and the contribution of the private sector in tuberculosis control in low-and middle-income countries. It discusses the comparative advantages and disadvantages of private providers and ...
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Papers by Ruairí F Brugha