Intro -- Title Page -- Copyright Page -- Dedication Page -- Contents -- Detailed Contents -- Preface -- Part I - Current Issues Facing Global Health Systems -- Introduction -- 1 - The Nature and Etiology of Disease -- The State of Health in the World -- Poverty and Health Status -- Poverty and Disability -- Disability-Adjusted Life Years (DALYs) -- The Epidemiological Transition -- The Second Epidemiological Transition: The Rise of Chronic and Degenerative Diseases -- The Third Epidemiological Transition: Re-emergence of Infectious Diseases -- The Demographic Transition -- Developing Nations and the Demographic Transition -- Diseases of Poverty -- Infant and Child Mortality -- Malnutrition -- Food Safety -- Acute Respiratory Infections -- Diarrheal Disease -- Adult Illness and Poverty -- Health Problems of Affluence -- The Changing World Scene -- Tobacco Use -- Alcohol Use -- Intentional Violence: Suicide, Homicide, and Warfare -- Dietary Imbalance -- Changes in Physical Activity -- Mortality and Automobiles -- The Environment -- Workplace Injuries -- Conclusion -- References -- 2 - Defining and Measuring Health Systems -- Introduction -- What is a Health System? -- Overview of Existing Frameworks -- WHO Building Blocks Framework -- Service Delivery -- Health Workforce -- Information -- Medical Products, Vaccines, and Technologies -- Sustainable Financing and Social Protection -- Leadership and Governance -- Measuring Health System Performance -- Selecting Appropriate Indicators -- Measuring the Building Blocks -- Service Delivery -- Health Workforce -- Information -- Medical Products, Vaccines, and Technologies -- Financing -- Leadership and Governance -- Conclusion -- References -- 3 - Financing and Organization of National Healthcare Systems -- Economic Support for Health Services -- Health Expenditures
Health Spending in High-Income Countries -- Health Spending in Middle-Income Countries -- Health Spending in Low-Income Countries -- Organization of Health Resources and Care Delivery -- Conclusion: Management Challenges for National Health Systems -- References -- 4 - Health System Regulation -- What is Regulation? -- What are the Purposes of Regulation? -- Examples of Health System Regulation -- Regulation of Healthcare Professionals -- Regulation of Healthcare Facilities -- Regulation of Health Insurance Companies and Health Insurance Plans -- Regulating the Privatization of Public Healthcare Facilities -- Problems of Implementation in Health System Regulation -- Legal Authority for Regulation -- Resources for Effective Regulation -- Capacity Building for Regulation -- Conclusion -- References -- 5 - Health Systems Strengthening in Low- and Middle-Income Countries -- Overview -- Health Financing -- Government Expenditures for Health -- Out-of-Pocket Health Expenditures -- Donor Financing -- Strengthening Financing Systems -- Governance and Transparency -- Issues in Governance -- Policy Options to Improve Governance -- Quality of Service Delivery -- Quality Measures -- Pay for Performance -- Trends in Healthcare Workforce -- Health Information Systems -- Innovations and New Ideas -- Integration of Microfinance and Health Education, Financing, and Services -- mHealth and the Increasing Use of Mobile Technologies in the Health Sector -- Alternative Health Financing Mechanisms -- Conclusion -- References -- Acknowledgments -- 6 - Health Reform -- Contexts and Health System Reform -- The Nature of Health System Reform in the Twenty-First Century -- The Macro-Geography of Health Reform -- How do Systems Reform? -- What does Reform Look Like? -- Reform in the Twenty-First Century: Primary Care and Strengthening Systems -- References
Part II - Profiled Countries -- Introduction -- Low-Income Countries -- 7 - Zambia -- Background -- Modern History -- Geography -- Demographics -- Economics -- Political System and Organization -- Health Statistics -- Social and Cultural Factors -- Key Health Issues and Needs -- Major Health Problems -- Population Health Issues -- Governmental Reform -- Epidemiology and Demographic Transition -- The Health Systems -- Organization and Facilities -- Economics and Financing -- Cost Containment -- Regulation -- Workforce and Health Professional Training -- Prospects for the Future -- References -- 8 - Kenya -- Background -- Geography -- Demographics and Health Statistics -- Economics -- Political System and Organization -- Key Health Issues and Needs -- Morbidity and Mortality -- Population Health Issues -- The Health Systems -- Organization and Facilities -- Financing -- Payment Mechanisms and Cost Containment -- Regulation -- Workforce and Health Professional Training -- Prospects for the Future -- References -- 9 - Ghana -- Background -- Geography -- Demographics -- Social and Cultural -- Economics -- Political System and Organization -- Health Statistics -- Key Health Issues and Needs -- Major Health Problems -- Epidemiology and Demographic Transition -- The Health Systems -- Organization and Facilities -- Financing -- Payment Mechanisms -- Cost Containment -- Regulatory Structure -- Workforce and Health Professional Training -- Prospects for the Future -- Strengths and Challenges Facing the Health System -- Future Predictions -- References -- 10 - Nigeria -- Background -- Key Health Issues and Needs -- HIV/AIDS -- Malaria -- Chronic Diseases -- Poliomyelitis (Polio) -- Population Health Issues -- The Health System -- Organization and Facilities -- Financing -- Regulation -- Workforce and Health Professional Training -- Prospects for the Future
References -- 11 - India -- Background Information -- History -- Geography and Climate -- Demographics -- Education -- Society -- Political System -- Economics -- Key Health Issues and Needs -- Major Health Problems -- Population Health Issues -- Epidemiological Transition -- The Health System -- Introduction -- Organization and Facilities -- Financing -- Cost Containment -- Regulatory Structure -- Workforce and Health Professional Training -- Prospects for the Future -- Note -- References -- Middle-Income Countries -- 12 - China -- Background -- History -- Geography -- Demographics -- Economics -- Political System -- Key Health Issues and Needs -- Aging Population -- Air Pollution -- Tobacco Use -- Epidemiological and Demographic Transition -- The Health System -- Facilities and Organization -- Financing -- Payment -- Regulation -- Workforce -- Prospects for the Future -- References -- 13 - Thailand -- Background -- Demographics -- Economics -- Health Statistics -- Key Health Issues and Needs -- Population Health Issues -- Epidemiology and Demographic Transition -- The Health System -- Introduction -- Organization and Facilities -- Achieving Universal Access in Thailand: Financing and Payment Mechanisms -- Cost Containment -- Workforce and Health Professional Training -- Prospects for the Future -- Strengths and Challenges Facing the Health System -- Future Predictions -- References -- 14 - Cuba -- Background -- Geography -- Demographics -- Economics -- Political System and Organization -- Health Statistics -- The Health System -- Strengths and Challenges Facing the Health System -- References -- 15 - South Africa -- Background -- Relevant History -- Geography -- Demographics -- Economics -- Political System and Organization -- Health Statistics -- Social and Cultural -- Key Health Issues and Needs -- Major Health Problems
Population Health Issues -- Epidemiology and Demographic Transition -- The Health System -- Introduction -- Organization and Facilities -- Financing -- Payment Mechanisms and Cost Containment -- Regulatory -- Workforce and Health Professional Training -- Prospects for the Future -- Strengths and Challenges Facing the Health System -- Predictions -- Notes -- References -- 16 - Brazil -- Background -- Historical Background -- Population Health Conditions -- The Health System -- Primary Healthcare -- Hospital Care -- Financing -- Payment Mechanisms -- Regulatory Structure -- Workforce and Health Professional Training -- Prospects for the Future -- References -- 17 - Turkey -- Background -- History -- Geography -- Demographics -- Economics -- Political System and Organization -- Health Statistics -- Social and Cultural -- Key Health Issues and Needs -- Major Health Problems -- Population Health Issues -- Epidemiological and Demographic Transition -- The Health System -- Introduction -- Organization and Facilities -- Financing -- Payment Mechanisms -- Cost Containment -- Regulatory Structure -- Workforce and Health Professional Training -- Prospects for the Future -- Strengths and Challenges Facing the Health System -- Future Predictions -- References -- 18 - Mexico -- Background -- Relevant History -- Geography -- Demographics -- Economics -- Political System -- Health Statistics -- Social and Cultural -- Key Health Issues and Needs -- Major Health Problems -- Epidemiological and Demographic Transition -- The Health System -- Introduction -- Organization and Facilities -- Financing -- Payment Mechanisms -- Cost Containment -- Regulatory Structure -- Workforce and Health Professional Training -- Prospects for the Future -- Strengths and Challenges Facing the Health System -- References -- High-Income Countries -- 19 - Portugal -- Background Information