Health system strengthening in Papua New Guinea: exploring the role of demand-responsive mechanisms
Date
2010
Authors
McKay, Julienne
Lepani, Katherine
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Publisher
Lowy Institute for International Policy
Abstract
Challenges facing the health system result not just from low
expenditure; performance is also constrained by its structure and by
cultural factors. If expectations for improved health outcomes, heightened by the bounty of resource development, are to be achieved
without substantial wasting of additional investment, policy makers
and program implementers need to consider all potentially viable
options. Lessons can be drawn from countries facing similar challenges
where the policy mix was broadened to include both supply-side
strategies and ‘demand-responsive’ mechanisms (voucher schemes, micro-health insurance, social businesses and social franchises). In
Papua New Guinea, these mechanisms could usefully complement
existing and emerging policy instruments, including public private
partnerships, as part of a more effective overall system of health service
delivery. Trialing demand-responsive mechanisms alongside
traditional supply-side strategies has the potential to reshape key
elements of Papua New Guinea’s health system, redressing structural
weaknesses and reducing inconsistencies with cultural realities.
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Report (Commissioned)
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Free Access via publisher website
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Restricted until
2099-12-31
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