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The Institute for Global Health and Development

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/9

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Author: search.filters.author.McPake, BarbaraSubject: search.filters.subject.Health Systems

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    What, why and how do health systems learn from one another? Insights from eight low- and middle-income country case studies
    (BioMed Central, 2019-01-21) Witter, Sophie; Anderson, Ian; Annear, Peter; Awosusi, Abiodun; Bhandari, Nitin N.; Brikci, Nouria; Binachon, Blandine; Chanturidze, Tata; Gilbert, Katherine; Jensen, Charity; Lievens, Tomas; McPake, Barbara; Raichowdhury, Snehashish; Jones, Alex
    Background - All health systems struggle to meet health needs within constrained resources. This is especially true for low-income countries. It is critical that they can learn from wider contexts in order to improve their performance. This article examines policy transfer and evidence use linked to it in low- and middle-income settings. The objective was to inform international investments in improved learning across health systems.
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    Hospital Policy in Sub-Saharan Africa and Post-Colonial Development Impasse
    (2009-06-02) McPake, Barbara
    The pattern of hospital development was set in colonised sub-Saharan countries in the early twentieth century on the basis of the demands of the colonial project and the strategies of missions. In the immediate post-independence period, democratic and egalitarian policy in some countries pointed to the expansion of health services to under-served areas. However, independence waned and more pronounced tensions emerged. Plans for expanded primary health care systems were sacrificed in favour of hospital services for a privileged elite. Over the same period, a group of international agencies have been associated with the promotion of more egalitarian and primary health care-focused strategies. But there has been a failure to engage at the political level and a willingness to accept instead token assent to the strategy. The consequence for hospitals has been an impasse. Hospitals do not meet elite expectations but neither do resources reach the larger population.