6
3.3 Management failures 3.3.1 Strategic planning 3.3.2 Regulation and quality assurance 3.3.3 Lack of health monitoring systems 3.3.4 Human resource management 3.3.5 Procurement procedures 3.4 Governance issues beyond the health system
63 64 64 65 66 67 67
4. Health gains are possible and affordable: The case for focused and rational public investment
69
4.1 Rapid health gains in developing countries 4.2 Health spending and the role of governments 4.3 Rational approaches to setting priorities 4.4 Applying the criteria in real life
69 71 75 81
5. Best buys for better health in India: An Entitlement Package with priority reforms to the system
83
5.1 The Entitlement Package 5.1.1 Interventions for safe birth and motherhood 5.1.2 Surviving the first five years of life 5.1.3 Controlling communicable diseases among older children and adults 5.1.4 Managing noncommunicable diseases 5.1.5 The local priority component 5.2 Using the Entitlement Package to catalyze reform 5.3 A modernised health system
84 87 89 91
6. No more business as usual: Road map to an equitable and effective health system 6.1 Private expansion, rising costs, and widening inequality: The risks of steady-as-she-goes 6.2 Does a publicly financed health system deserve the trust of its users? 6.3 A different solution: public finance, mixed providers, universal service, and no blank cheques
92 94 94 101 105
105 109 110