Exploring SWAp's contribution to the efficient allocation and use of resources in the health sector in Zambia

Health Policy and Planning

Volumn 23, Issue 4, 2008, Pages 244-251

  Chansa, Collins ^a   Sundewall, Jesper ^b   McIntyre, Di ^c   Tomson, Göran ^b   Forsberg, Birger C ^b  

^a MINISTRY OF HEALTH   (Zambia)

^b KAROLINSKA INSTITUTE   (Sweden)

^c UNIVERSITY OF CAPE TOWN   (South Africa)

Author keywords

Development assistance; Efficiency; Resource allocation; Sector wide approach; SWAp; Zambia

Indexed keywords

ARTICLE; COST BENEFIT ANALYSIS; DRUG COST; FUNDING; GOVERNMENT; HEALTH CARE FINANCING; HEALTH CARE MANAGEMENT; HEALTH CARE SYSTEM; HOSPITAL BED UTILIZATION; HUMAN; INTERVIEW; RESOURCE ALLOCATION; ZAMBIA;

BUDGETS; DELIVERY OF HEALTH CARE, INTEGRATED; EFFICIENCY, ORGANIZATIONAL; HEALTH RESOURCES; HEALTH SERVICES RESEARCH; HUMANS; INTERVIEWS AS TOPIC; MODELS, ORGANIZATIONAL; ORGANIZATIONAL CASE STUDIES; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; REGIONAL HEALTH PLANNING; RESOURCE ALLOCATION; ZAMBIA;

EID: 45849084585     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czn013     Document Type: Article

References (51)

1. Attridge JC, Preker A. 2005. Improving access to medicines in developing countries: application of new institutional economics to the analysis of manufacturing and distribution issues. HNP Discussion Paper. Washington, DC: World Bank.
2. Bannenberg W. 2004. Zambia drug supply budget line mission. A report prepared for the Ministry of Health on the options for the establishment, operation and sustenance of the drug supply fund.
3. Bennett S, Quick J, Velásquez G. 1997. Public-private roles in the pharmaceutical sector: implications for equitable access and rational drug use. DAP Series No. 5. Geneva: World Health Organization.
4. Boesen N, Dietvorst D. 2007. SWAPs in motion. Sector wide approaches: from an aid delivery to a sector development perspective. Joint Learning Programme on Sector Wide Approaches and the Aid Delivery Methods Programme - EuropeAid.
5. Brown A. 2001. Integrating vertical health programmes into sector-wide approaches: experiences and lessons. London: Institute for Health Sector Development, on behalf of the Swiss Agency for Development and Co-operation (SDC).
6. Cassels A. 1997. A guide to sector-wide approaches for health development - concepts, issues and working arrangements. Geneva: World Health Organization.
7. Central Board of Health. 1997-2005. Central Board of Health Databases 1997-2005. Lusaka, Zambia.
8. Central Board of Health. 2005. Annual health statistical bulletin 2004: a presentation of selected indicators on disease burden and service delivery. Lusaka: Central Board of Health.
9. Danish Ministry of Foreign Affairs. 1994. Summary of consultations of the joint review and appraisal mission for the Danish support to the Zambian health sector reform process. Copenhagen: Danish Ministry of Foreign Affairs.
10. Daura M, Mulikelela D. 1998. Donor expenditures 1995-1998. In Seshamani V, Mwikisa C, Ödegaard K. Zambia's Health Reforms, Selected Papers 1995-2000. Lund: Swedish Institute for Health Economics and University of Zambia.
11. Department for International Development. 2001. Measuring health sector performance at country level. Report of a DFID workshop, 20-21 July 2001, organized by the Health Systems Resource Centre. London: DFID.
12. Foster M. 2000. What can we learn from experience with implementing sector-wide approaches? Working Paper 140. London: Overseas Development Institute.
13. Foster M, Brown A, Norton A, Naschold F. 2000. The status of sector-wide approaches. London: Overseas Development Institute.
14. Frantz B, Mpuku H, Wright J. 2004. Supporting the decentralized delivery of health services: USAID and the district basket in Zambia. Washington, DC: USAID.
15. Garner P, Flores W, Tang S. 2000. Sector-wide approaches in developing countries. The aid given must make the most impact. British Medical Journal 321: 129-30.
16. Hutton G. 2002. Decentralisation and the sector-wide approach in the health sector. Key issue paper in the frame of the SDC Backstopping Mandate 2002 of the Social Development Division's Health Desk. Basel: Swiss Tropical Institute.
17. Hutton G, Tanner M. 2004. The sector-wide approach: a blessing for public health? Bulletin of the World Health Organization 82: 893.
18. IHSD. 2001. Orientation and training seminars for agency staff: sector-wide approaches for health in a changing environment. Seminar handbook. Inter-agency group on sector-wide approaches for health development. London: Institute for Health Sector Development.
19. IHSD. 2003. Mapping of sector-wide approaches in health. London: Institute for Health Sector Development.
20. Jeppsson A. 2002. SWAp dynamics in a decentralized context: experiences from Uganda. Social Science and Medicine 55: 2053-60.
21. Jeppsson A, Okuonzi SA. 2000. Vertical or holistic decentralization of the health sector? Experiences from Zambia and Uganda. International Journal of Health Planning and Management 15: 273-89.
22. Jones S. 1997. The sector approach: promise and pitfall. Oxford Policy Management Review. Oxford: Oxford Policy Management.
23. Kalumba K, Musowe V. 1997. Sustainable partnerships for health. Paper presented at a consultative meeting on sector support programmes in Kafue Gorge, Zambia.
24. Kalumba K, Musowe V. 1998. Effective coordination and use of donor funding in Zambia. In: Allison B, Doherty J, Gilson L et al. (eds). Sustainable health care financing in Southern Africa. Washington, DC: The World Bank.
25. Kandimaa A, Mattsson P. 2001. Sector programme support to the Zambian health sector 2002-2005. Assessment memorandum. Stockholm: Swedish International Development Cooperation Agency.
26. Kombe G, Galaty D, Mtonga V, Banda P. 2005. Human resource crisis in the Zambian health system: a call for urgent action. Bethesda, MD: Partners for Health Reformplus project, Abt Associates Inc.
27. Lake S, Musumali C. 1999. Zambia: the role of aid management in sustaining visionary reform. Health Policy and Planning 14: 254-63.
28. McPake B, Kutzin J. 1997. Methods for evaluating health system performance and the effects of reforms. Current Concerns: ARA paper no. 13. Geneva: World Health Organization.
29. Ministry of Health. 1989-2007. Ministry of Health databases 1989-2007. Lusaka: Ministry of Health, Zambia.
30. Ministry of Health. 1992. National health policies and strategies. Lusaka: Ministry of Health, Zambia.
31. Ministry of Health. 1997. Independent review of the Zambian health reforms: Volume 1 - Main report. Lusaka: Ministry of Health, Zambia.
32. Ministry of Health. 1999. Memorandum of understanding concerning the National Health Strategic Plan (2001-2005). Lusaka: Ministry of Health, Zambia.
33. Ministry of Health. 2000a. Joint identification and formulation mission: a proposed health sector support investment programme (2001-2005), volumes 1 and 2. Lusaka: Ministry of Health, Zambia.
34. Ministry of Health. 2000b. National Health Strategic Plan 2001-2005. Lusaka: Ministry of Health, Zambia.
35. Ministry of Health. 2001. Joint health (pre)appraisal report. Lusaka: Ministry of Health, Zambia.
36. Ministry of Health. 2002. Brief on the medical stores limited contract. Lusaka: Ministry of Health, Zambia.
37. Ministry of Health. 2003. Mid-term review of the National Health Strategic Plan 2001-2005. Lusaka: Ministry of Health, Zambia.
38. Mtonga BS. (n.d.) Planning for and management of external aid for health in Zambia. Lusaka.
39. Nakamba PM, Hongoro C, McPake B et al. 2002. Zambia case study. In: Eriksson P, Diwan V, Karlberg I, (eds). Health sector reforms: What about hospitals? Gothenburg: Nordic School of Public Health.
40. Nokkala M. 2003. Health sector programs and well-being: ensuring the poor can benefit from a sector-wide approach. Presentation at the WIDER Conference on Inequality, Poverty and Human Well-being, Helsinki, 30-31 May 2003.
41. Overseas Development Institute. 2001. An overview of the SWAp debate. ODI keysheets. London: Overseas Development Institute.
42. Övretveit J. 1998. Evaluating health interventions. Buckingham: Open University Press.
43. Phiri FV. 2003. Decentralisation and the SWAp in the health sector in Zambia. Berlin: Learning Network on Program-Based Approaches (LENPA).
44. Sundewall J, Sahlin-Andersson K. 2006. Translations of health sector SWAps - A comparative study of health sector development cooperation in Uganda, Zambia and Bangladesh. Health Policy 76: 277-87.
45. Thomas DR. 2003. A general inductive approach for qualitative data analysis. Auckland: University of Auckland School of Population Health.
46. Ugalde A, Homedes N. 1988. Medicines and rural health services: an experiment in the Dominican Republic. In: van der Geest S, Whyte SR, (eds). The context of medicines in developing countries: studies in pharmaceutical anthropology. Dordrecht: Kluwer, pp. 57-80.
47. Walford V. 2003. Defining and evaluating SWAps. London: Institute for Health Sector Development.
48. WHO. 1999. Lessons from experience from sector-wide approaches in health. Geneva: World Health Organization.
49. WHO. 2000. World Health Report 2000: Health systems - improving performance. Geneva: World Health Organization.
50. Yin R. 2003. Case study research design and methods. Thousand Oaks, CA: Sage Publications.
51. Zere E, Mbeeli T, Shangula K et al. 2006. Technical efficiency of district hospitals: evidence from Namibia using data envelopment analysis. Cost Effectiveness and Resource Allocation 4: 5.