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International Journal of Epidemiology 2001;30:720-723
© International Epidemiological Association 2001

Forum

The need for equity-oriented health sector reforms

Davidson R Gwatkin

The first 150 words of the full text of this article appear below.

To many, the expression ‘health system reform’ brings to mind a particular set of measures widely adopted during the 1990s in order to deal with a particular problem: increased reliance on private sector institutions and operating procedures in order to improve efficiency. But in principle, the expression ‘health system reform’ is a general one, applied to a broad range of policy measures designed to deal with an equally broad range of problems. According to one standard definition, for example, health sector reform can be defined as ‘sustained, purposeful change to improve the efficiency, equity, and effectiveness of the health sector.’1

Adoption of a broader definition provides an opportunity to move beyond the current narrow debate over whether the particular reform measures of the past have helped or harmed the poor, to a broader look at the reform measures required to benefit the poor in the future. Such a look is . . . [Full Text of this Article]

The need for deeper reforms

Bringing about deeper reforms

The role of evidence


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