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Essay / Research Paper Abstract
This 14 page paper considers the way in which developing countries in Africa and Asia are seeking to create financial sustainability in the healthcare systems, and considers the influence and impact of fee based service provision on the accessibility and equity of the systems. The bibliography cites 15 sources.
Page Count:
14 pages (~225 words per page)
File: TS14_TEFSdevelop.rtf
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Unformatted sample text from the term paper:
status of the population is closely correlated, this can create a negative cycle in developing countries, where there are limited resources and unstable tax revenues. In many developing countries, especially
in Africa, there were governments that were adopting a goal of providing free healthcare for all, with the aim of creating the quality and equity within healthcare services, but the
reality is that this was not achieved due to its lack of sustainability (Wiesmann and Jutting, 2000). A strategy that has been adopted by many governments response to the non-sustainability
has been introduction of user fees, often connected to the point of service provision, in order to increase the amount of resources that are available and create financial sustainability (Shaw
and Griffin, 1995). To assess whether financial services being created in developing countries, as well as the willingness to pay, the approach is adopted in areas such as Africa and
Asia can be assessed, with consideration of the motivations behind strategies and the results including utilization, which may reflect the willingness to pay on the part of the users. When
looking at the concept of sustainability within healthcare, and the way it can be first within different developing countries, LaFond (1995) has defined this as "the capacity of the health
system to function effectively over time with a minimum of external". It has become increasingly apparent that many developing nations have been unable to sustain healthcare services without external intervention,
with a common approach being in introduction of user fees, Gilson (1997) notes that there has been a considerable increase in level of uses these systems in Africa, and that
this is seen as a critical financial move providing alternative and sustainable source of revenue as an alternative to revenues from taxation. Even countries which have previously had government-funded care
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