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Health Systems in Low- and Middle-Income CountriesAn economic and policy perspective$
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Richard D. Smith and Kara Hanson

Print publication date: 2011

Print ISBN-13: 9780199566761

Published to Oxford Scholarship Online: January 2012

DOI: 10.1093/acprof:oso/9780199566761.001.0001

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The health system and external financing

The health system and external financing

(p.193) Chapter 9 The health system and external financing
Health Systems in Low- and Middle-Income Countries

Anna Vassall

Melisa Martínez-Álvarez

Oxford University Press

Building stronger health systems and sectors in low-income countries will continue to require international finance for some time to come. However, despite the significant growth in development assistance to health in recent years, fundamental challenges remain; both to raise the finance required and to ensure funds are spent effectively. This chapter examines the experiences, emerging evidence, and lessons learned that are influencing the way in which the international community funds health-related development in low- and middle-income countries. It outlines the pattern of aid flows to low- and middle-income countries in recent years. It then presents and discusses concerns and evidence relating to aid effectiveness in the health sector, focusing on health sector development. Finally, it discusses the policy response and examines the way ahead.

Keywords:   health systems, low-income countries, international financing, international aid, health sector development, development assistance

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