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Viewpoint: When the ‘non-workable ideological best’ becomes the enemy of the ‘imperfect but workable good’

Authors: Agyepong, Irène Akua1; Orem, Juliet Nabyonga2; Hercot, David3

Source: Tropical Medicine & International Health, Volume 16, Number 1, January 2011 , pp. 105-109(5)

Publisher: Wiley-Blackwell

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Abstract:

Summary This brief paper addresses some of the difficulties inherent in international ideological approaches to solving the complex problems of health care financing and delivery in poor countries using Ghana as an example. It concludes with an appeal for problem solving approaches involving informed debate as to optimal ways forward to solve low income country health financing woes that are open minded about possible options rather than vested in particular positions.

French
Ce bref article traite de certaines des difficultés inhérentes aux approches idéologiques internationales pour résoudre les problèmes complexes de financement et de délivrance des soins de santé dans les pays pauvres, en utilisant le Ghana comme exemple. Il conclut par un appel à des approches pour la résolution des problèmes, impliquant un débat éclairé quant à la façon optimale de résoudre les maux de financement de la santé des pays à faibles revenus avec un esprit ouvert sur les options possibles plutôt que de rester sur des positions particulières.

Keywords: Cooperación Internacional; Ghana; International Cooperation; National Health Insurance; National Health Programs; Programas nacionales de salud; assurance-maladie nationale; coopération internationale; no estadounidense; non Etats-Unis; non-US; programmes nationaux de santé; seguro nacional de salud

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2010.02639.x

Affiliations: 1:  Ghana Health Service, University of Utrecht Greater Accra Regional Health Directorate, Accra, Ghana 2:  Health systems and services cluster, WHO Uganda Country Office, Nile Avenue, Kampala 3:  Scientist International Health Policy, Department of Public Health, Institute of Tropical Medicine Antwerp, Belgium

Publication date: January 1, 2011

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