Linked Life Data

10621242

Source:http://linkedlifedata.com/resource/pubmed/id/10621242

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1999-11-10
pubmed:abstractText
As part of its ongoing reform of the health sector, Zambia has developed a number of systems and structures to coordinate and manage external resources. With increasing attention being given to the potential for sector-wide approaches (SWAps) to enhance the efficiency and effectiveness of health systems in low-income countries, Zambia provides an interesting case study of how this is emerging in practice over time. The paper outlines the different coordination mechanisms and assesses them in terms of selected criteria of effectiveness, finding that the potential to meet reform objectives is currently not being met. Factors influencing the effectiveness of these mechanisms are identified as falling into categories around personalities and human interaction, the nature of reform processes, and the impact of broader context. The need to maintain dialogue in the face of external constraints and uncertainties is stressed.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Africa South Of The Sahara, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Eastern Africa, http://linkedlifedata.com/resource/pubmed/keyword/English Speaking Africa, http://linkedlifedata.com/resource/pubmed/keyword/Government Agencies, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Health Services, http://linkedlifedata.com/resource/pubmed/keyword/MANAGEMENT, http://linkedlifedata.com/resource/pubmed/keyword/Organization And Administration, http://linkedlifedata.com/resource/pubmed/keyword/Organizations, http://linkedlifedata.com/resource/pubmed/keyword/Resources, http://linkedlifedata.com/resource/pubmed/keyword/Summary Report, http://linkedlifedata.com/resource/pubmed/keyword/Zambia
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
H
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0268-1080
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
254-63
pubmed:dateRevised
2006-11-15
pubmed:otherAbstract
PIP: This paper aims to review existing aid management processes in Zambia, and to assess the factors influencing their effectiveness. The package of reforms was introduced following the change of Government in 1991, when the Movement for Multiparty Democracy came to power. The reform process aims to secure a health care system, which will ensure equity to access cost-effective quality health care as close to the family through the adoption of a strategy of decentralization. Zambian health sector has traditionally enjoyed the external support from multilateral agencies. The need for better coordination has been explicitly recognized as a means for strengthening the overall reform process. Processes for managing the external resources flowing into the Zambian health sector belong to two different categories. First, the instruments developed as a part of the broader policy changes such as decentralization and budgetary reform; and second, a number of mechanisms have been particularly introduced to coordinate or manage aid. However, these management processes are influenced by several factors. These include contextual influences such as the political support; nature of personal interactions; and the issue of institutional capacity in managing external resources.
pubmed:meshHeading
pubmed:year
1999
pubmed:articleTitle
Zambia: the role of aid management in sustaining visionary reform.
pubmed:affiliation
Health Policy Unit, London School of Hygiene and Tropical Medicine, UK.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't