The Open UniversitySkip to content
 

Competitive and organisational constraints on innovation, investment and quality of care in a liberalised low income health system: evidence from Tanzania

Mackintosh, Maureen and Tibandebage, Paula (2007). Competitive and organisational constraints on innovation, investment and quality of care in a liberalised low income health system: evidence from Tanzania. European Journal of Development Research, 19(1) pp. 81–99.

Warning

This is the latest version of this eprint.

Full text available as:
[img] Microsoft Word
Download (226Kb)
URL: http://www.palgrave-journals.com/ejdr/journal/v19/...
DOI (Digital Object Identifier) Link: http://dx.doi.org/10.1080/09578810601144335
Google Scholar: Look up in Google Scholar

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: Journal Article
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/Department: Social Sciences > Economics
Interdisciplinary Research Centre: Innovation, Knowledge & Development research centre (IKD)
Item ID: 27579
Depositing User: Maureen Mackintosh
Date Deposited: 17 Feb 2011 10:54
Last Modified: 10 Jul 2013 14:24
URI: http://oro.open.ac.uk/id/eprint/27579
Share this page:

Available Versions of this Item

Altmetrics

Scopus Citations

Actions (login may be required)

View Item
Report issue / request change

Policies | Disclaimer

© The Open University   + 44 (0)870 333 4340   general-enquiries@open.ac.uk