By Jeni Klugman, George Schieber, Timothy E. Heleniak
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Additional info for A survey of health reform in Central Asia, Volumes 23-344
In this context, this paper makes an important contribution to our understanding of health issues in Central Asia. The paper provides an overview of developments in the health sector efforts in Central Asia. It presents and analyzes a wealth of data on levels and trends in health status, delivery of services and financing in each of the Central Asian countries, plus Azerbaijan. Recent shifts are placed in the context of longer term trends. The paper approaches health sector reform from the perspectives of the macroeconomic constraints, the demographic and epidemiological transitions facing each country, the underlying structure and financing of their health systems, and the inherent strengths and weaknesses of their common Soviet health system legacy.
Health Status -- Demographic and Epidemiological Trends 1 Demographic Trends 2 Rural-Urban Differentials 5 Epidemiological Situation 7 Burden of Disease 9 III. Macro-Economic Context and Constraints 11 IV. The Inherited Health Systems 15 Expenditures and Availability and Use of Services 18 Expenditures 18 Availability and Use of Services 21 V. The Enabling Environment for Health Reform 24 Decentralization 24 Staffing 25 Regulation 25 Stakeholders 26 VI. Health Policy Reform Agenda 27 Financing 28 Eligibility 30 Benefits 30 Payment of Medical Care Providers 31 Delivery System Reforms 35 VII.
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A survey of health reform in Central Asia, Volumes 23-344 by Jeni Klugman, George Schieber, Timothy E. Heleniak