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Taylor & Francis
Governing Health Systems: For Nations and Communities Around the World / Edition 1

Governing Health Systems: For Nations and Communities Around the World / Edition 1

by Michael R. Reich, Keizo TakemiMichael R. Reich


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Governing Health Systems: For Nations and Communities Around the World examines the complex relationships between governance and performance in community and national health systems. Each chapter provides an in-depth case study, using both qualitative and quantitative methods, on health systems in many countries, including Uganda, Ghana, India, Zambia, Japan, Nigeria, Indonesia, Brazil, Palestine, and South Korea. The chapters were written by former Takemi Fellows, who were mid-career research fellows at the Harvard T.H. Chan School of Public Health, and their colleagues. This case study approach yields important findings as well as contextual insights about the challenges and accomplishments in addressing governance issues in national and community health systems around the world.

Health policymakers around the world are struggling to address the multiple challenges of governing health systems. These challenges also represent important themes for the research mission of the Takemi Program in International Health at the Harvard T.H. Chan School of Public Health. This book is based on the program’s thirtieth anniversary symposium held in October 2013 at Harvard. The studies presented in this book—deep examinations of illustrative examples of health system governance for communities and nations—contribute to our knowledge about global health and assist policymakers in dealing with the complex practical problems of health systems. In short, this book addresses central questions about governing health systems—and why governance matters.

Product Details

ISBN-13: 9781942108009
Publisher: Taylor & Francis
Publication date: 04/14/2015
Pages: 418
Product dimensions: 6.40(w) x 9.20(h) x 1.30(d)

About the Author

Michael R. Reich is the Taro Takemi Professor of International Health Policy in the Department of Global Health and Population at the Harvard School of Public Health, where he has been on the faculty since 1983. He received his PhD in political science from Yale University in 1981. Dr. Reich has written extensively about the political dimensions of public health policy, health reform, and pharmaceutical policy. He previously served as chair and acting chair of the Harvard School of Public Health’s Department of Population and International Health (1997–2001) and as director of the Harvard Center for Population and Development Studies (2001-05), and continues as Director of the Takemi Program in International Health.

Keizo Takemi is a Member of the House of Councilors of Japan's National Diet and a Senior Fellow at the Japan Center for International Exchange (JCIE). He served as State Secretary for Foreign Affairs of Japan in 1998-99 and Senior Vice-Minister of Health, Labor and Welfare of Japan in 2006-07. He is an internationally recognized advocate for global health and development, and played an important role in placing health system strengthening at the center of the 2008 G8 summit in Japan. He also was a Takemi Fellow at the Harvard School of Public Health from 2007 to 2009.

Table of Contents

List of Tables vii

List of Figures ix

Authors Biographical Information xi

i Congratulatory Message Yoshitake Yokokura xix

ii Preface Julio Frenk xxi

1 Introduction and Overview for Governing Health Systems Michael R. Reich Keizo Takemi 1

Governing Local Health Systems

2 Community Participation in Governance of the Health Care System: A Look at Health Unit Management Committees in Uganda Joseph Konde-Lule 29

3 Governance and Performance of Public District Hospitals in the Eastern Region of Ghana Nil Ayite Coleman 51

4 Managing Grassroots Health Systems in Kerala: The Roles and Capacities of Local Self-Government Institutions Udaya S. Mishra T.R. Dilip 84

5 Leveraging the Voice of Community Workers in Health Governance: A Two-Case Study from Zambia and Japan Margaret Henning Aya Goto Chunhuei Chi Michael R. Reich 108

6 Community Perception of Health Services in South East Nigeria: A Reflection of Health System Governance in Nigeria Joseph Okeibunor A. Ngozi Njepuome Obioma C. Nwaorgu Nkechi G. Onyeneho Uche V. Amazigo 138

Governing National Health Systems

7 Governing Social Health Insurance Systems for Universal Coverage: The Case of Indonesia Hari Kusnanto 177

8 Governance and Health System Performance: National and Municipal Challenges to the Brazilian Family Health Strategy Luiz Facchini Elaine Thumé Bruno P. Nunes Suele M. Silva Anaclaudia G. Fassa Leila P. Garcia Elaine Tomasi 203

9 Challenges in Reforming the Health System to Prevent Maternal Deaths in Low-Income Countries: A Case Study of Nigeria Friday Okonofua 237

10 Governing the Reform of the United Nations Health Systems for Palestine Refugees: Moving Mountains Akihiro Seita 267

11 The Challenges of Governing the Korean National Health Insurance System and Its Implications: Financial Sustainability and Accountability Hacheong Yeon 293

12 Participation of the Lay Public in Decision Making for Benefits Coverage of National Health Insurance in South Korea Juhwan Oh Young Ko Soonman Kwon 331

Concluding Remarks

Reflections (i) Richard Norton 351

Reflections (ii) Masami Ishii 358

Reflections (iii) Lincoln Chen 360

Appendix: Short History of the Takemi Program in International Health and List of Takemi Fellows, 1984-2013 365

Acknowledgments 377

Index 379

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