Experience of devolution in district health system of Pakistan: Perspectives regarding needed reforms

Journal of the Pakistan Medical Association

Volumn 62, Issue 1, 2012, Pages

  Shaikh, Shiraz ^a   Naeem, Imran ^a   Nafees, Asaad ^a   Zahidie, Aysha ^a   Fatmi, Zafar ^a   Kazi, Ambreen ^a  

^a AGA KHAN UNIVERSITY   (Pakistan)

Author keywords

Devolution; District health system; Health reforms

Indexed keywords

ARTICLE; CONTROLLED STUDY; DECENTRALIZATION; FUNCTIONAL STATUS; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HUMAN; INTERVIEW; NEEDS ASSESSMENT; OUTCOME ASSESSMENT; PAKISTAN; PERSONAL AUTONOMY; PRIMARY HEALTH CARE; QUALITATIVE ANALYSIS; TEAMWORK; THEMATIC ANALYSIS;

EID: 84455203047     PISSN: 00309982     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (25)

1. Yuliani EL. Decentralization, deconcentration and devolution: what do they mean? (Online) (Cited 2010 Aug 27). Available from URL: http://www.cifor.cgiar.org/publications/pdf_files/interlaken/Compilation.pdf.
2. Uchimura H, Jütting J. Decentralization in Asian Health Sectors: Friend or Foe? OECD Development center. Policy Insights, 2006; pp 18.
3. Regmi K, Naidoo J, Pilkington PA, Greer A. Decentralization and district health services in Nepal: understanding the views of service users and service providers. J Public Health (Oxf) 2010; 32: 406-17.
4. Health system Profile Pakistan. Regional Health System Observatory-EMRO. World Health Organization; 2007.
5. Report of health system review mission -Pakistan. WHO, UNICEF, DFID and WB. February 2007. (Online) (Cited 2010 Aug 27). Available from URL: http://gis.emro.who.int/healthsystemobservatory/pdf/healthsystemreviewmissionreports/pak%20hsd%20mission%20report%20draft%20ver%201%200%20march%2030%202007.pdf.
6. Ahmed J, Shaikh BT. An all time low budget for healthcare in Pakistan. J Coll Physicians Surg Pak 2008, 18: 388-91.
7. World Health Organization. Working together for health. World Health Report 2006.
8. Nishtar. S. The Gateway Paper 1, Health Systems in Pakistan - a Way Forward. Pakistan\'s Health Policy Forum, 2006.
9. Government of Pakistan. Local Government plan 2000. National reconstruction Bureau. Chief Executive Secretariat. Islamabad, 2000.
10. Shaikh BT, Rabbani F. District health system: a challenge that remains. East Mediterr Health J 2004; 10: 208-14.
11. Shaikh BT, Kadir MM, Pappas G. Thirty years of Alma Ata pledges: Is devolution in Pakistan an opportunity for rekindling primary health care? J Pak Med Assoc 2007; 57: 259-61.
12. Islam A. Health sector reform in Pakistan: Future Directions. J Pak Med Assoc 2002; 52: 174-82.
13. National Institute of Population Studies. Pakistan demographic and health survey 2006-07. Islamabad: NIPS; 2007; pp 25.
14. Development amidst crisis. Pakistan millennium development goals report 2010. (Online) (Cited 2010 Oct 10). Available from URL: http://undp.org.pk/images/publications/mdgr2010.pdf.
15. Ministry of health. Government of Pakistan. Draft Document National Health Policy, July 2009. (Online) (Cited 2011 Mar 24) Available from URL: http://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/-ilo_aids/documents/legaldocument/wcms_117438.pdf.
16. Nishtar S. The vanishing ministry. PK Columnist, 25th December 2010. (Online) (Cited 2010 Oct 10) Available from URL: http://www.pkcolumnist.com/dr-sania-nishtar/the-vanishing-ministry.
17. Paracha SA. Devolution plan in Pakistan: Context, Implementation and Issues. Central European University Center for Policy Studies; 2002-03.
18. Qazi MS, Ali M. Pakistan\'s health management information system: health managers\' perspectives. J Pak Med Assoc 2009; 59: 10-4.
19. Nayyar R, Ebel R, Ignatova S, Rashid K. Assessing the impact of devolution on healthcare and education in Pakistan. Pakistan Devolution Support Project, United States Agency for International Development. February; 2006.
20. Jokhio AH, Pappas G. Capacity of senior health managers in Pakistan: a survey of managers in public health sector. Int J Healthcare Adm 2009; 6; 1531-2933.
21. National Institute of Population Studies. Pakistan Demographic and Health Survey 2006-07 Final Report. Islamabad; 2008.
22. Loevinsohn B, Harding A. Buying results? Contracting for health service delivery in developing countries. Lancet 2005; 366: 676-81.
23. Loevinsohn B, Haq IU, Couffinhal A, Pande A. Contracting-in management to strengthen publicly financed primary health services - the experience of Punjab, Pakistan. Health Policy 2009; 91: 17-23.
24. People\'s Primaty Healthcare Initiative. Sind development review 2008-09. Planning and development depertment, government of Sind. (Online) (Cited 2010 Oct 14). Available from URL: www.sindpnd.gov.pk.
25. Nishtar S. The Health Budget 2006-the policy context. Viewpoint: Pakistan Health Policy Forum, Islamabad: Heartfile; 2006.