Mackintosh, Maureen and Tibandebage, Paula
(2007).
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| URL: | http://www.palgrave-journals.com/ejdr/journal/v19/... |
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| DOI (Digital Object Identifier) Link: | https://doi.org/10.1080/09578810601144335 |
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Abstract
International health policy proposals increasingly emphasise health system strengthening and innovation. In a context of liberalised provision, the scope for innovative health system rebuilding depends on the viability, effectiveness and capabilities of the non-governmental providers. Yet the research literature examining the market behaviour of private health care firms in developing countries, and the incentive structures and constraints they face, remains limited. We demonstrate here the extent of perverse health care market dynamics found in Tanzania in the late 1990s, in relation to patients’ need for reliable health care, and show that the financial and operating fragility of the firms constrained investment and innovation. We aim to focus attention on the challenge for innovative approaches to poverty reduction represented by the current market and business structure of health care in low income countries and to discuss some policy implications.
| Item Type: | Article |
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| Copyright Holders: | 2007 European Association of Development Research and Training Institutes |
| ISSN: | 1743-9728 |
| Keywords: | health; poverty; innovation; market dynamics; investment; liberalisation; finance |
| Academic Unit/School: | Faculty of Arts and Social Sciences (FASS) > Politics, Philosophy, Economics, Development, Geography Faculty of Arts and Social Sciences (FASS) |
| Interdisciplinary Research Centre: | Innovation, Knowledge & Development research centre (IKD) International Development & Inclusive Innovation |
| Item ID: | 27579 |
| Depositing User: | Maureen Mackintosh |
| Date Deposited: | 17 Feb 2011 10:54 |
| Last Modified: | 09 Feb 2017 13:05 |
| URI: | http://oro.open.ac.uk/id/eprint/27579 |
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Competitive and organisational constraints on innovation, investment and quality of care in a liberalised low income health system: evidence from Tanzania. (deposited 16 Nov 2007)
- Competitive and organisational constraints on innovation, investment and quality of care in a liberalised low income health system: evidence from Tanzania. (deposited 17 Feb 2011 10:54) [Currently Displayed]
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