The impact of privatization on access in Tanzania

被引:23
作者
Benson, JS [1 ]
机构
[1] Minnesota State Univ Moorhead, Moorhead, MN 56563 USA
关键词
accessibility; health facilities; equity; Tanzania;
D O I
10.1016/S0277-9536(00)00308-7
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In the late 1980s, many developing countries were forced to adopt structural adjustment policies as a condition for securing loans From the International Monetary Fund (IMF) and the World Bank. One of the World Bank's recommended policies was to change the mix of private and public health facilities. This study, based on fieldwork done in Tanzania in 1993, examines the impact of this policy on health-care accessibility in two northern Tanzanian districts, one rural and one urban. Accessibility was measured in terms of equality and equity of coverage. The placement of the very few government clinics opened during the years 1985-1993 did much more to improve coverage than the haphazard location of many new private clinics. Equity was not improved as very few clinics were placed in demographically needy areas. (C) 2001 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:1903 / 1915
页数:13
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