Advertisement

Development

, Volume 48, Issue 1, pp 19–24 | Cite as

Achieving the MDGs: Health systems as core social institutions

  • Lynn P Freedman
Upfront

Abstract

Lynn Freedman argues that strategies for meeting the MDGs should be premised on an understanding of health systems as core social institutions that help define the very experience of poverty and citizenship. MDG 5 on maternal mortality provides a strategic entry point for addressing health systems.

Keywords

maternal mortality emergency obstetric care (EmOC) AMDD health policy equity 

References

  1. Afsana, Koasar (2004) ‘The tremendous cost of seeking hospital obstetric care in Bangladesh’, Reproductive Health Matters 12(24): 171–180.CrossRefGoogle Scholar
  2. Bloom, G. and H. Standing (2001) ‘Pluralism and marketisation in the health sector: meeting health needs in contexts of social change in low and middle-income countries’, IDS Working Paper 136.Google Scholar
  3. Caro, D.A., S.F. Murray and P. Putney (2004) ‘Evaluation of the Averting Maternal Death and Disability Program’, [on file with author].Google Scholar
  4. Commission on Macroeconomics and Health (2001) ‘Macroeconomics and health: investing in health for economic development’. World Health Organization: Geneva.Google Scholar
  5. Committee on Economic Social and Cultural Rights (2000) ‘General Comment 14 on the Right to Health, E/C.12/2000/4.Google Scholar
  6. Freedman, L. (2003) ‘Strategic Advocacy and Maternal Mortality: Moving Targets and the Millennium Development Goals’, Gender and Development 11(1): 97–108.CrossRefGoogle Scholar
  7. Freedman, L.P., R. Waldman, M. Wirth, A. Rosenfield and M. Chowdhury (2004) ‘Millennium Project Task Force on Child Health and Maternal Health Interim Report’, available athttp://www.unmillenniumproject.org/html/tf4docs.shtm.
  8. Gilson, L. (2003) ‘Trust and Development of Health Care as a Social Institution’, Social Science and Medicine 56: 1453–1468.CrossRefGoogle Scholar
  9. Gwatkin, D.R., A. Bhuiya and C. Victora (2004) ‘Making Health Systems More Equitable’, The Lancet 364: 1273–1280.CrossRefGoogle Scholar
  10. Jewkes, R., N. Abrahams and Z. Mvo (1998) ‘Why do Nurses Abuse Patients? Reflections from South African Obstetric Services’, Social Science and Medicine 47(11): 1781–1795.CrossRefGoogle Scholar
  11. Joint Learning Initiative (2004) Human Resources for Health: Overcoming the Crisis, Cambridge: Harvard University Press.Google Scholar
  12. Koivusalo, M. and M. Mackintosh (2004) ‘Health Systems and Commercialisation: In search of good sense’. prepared for the UNRISD conference on Commercialization of Health Care, programme on Social Policy and Development, UNRISD: Geneva.Google Scholar
  13. Mackintosh, M. (2001) ‘Do Health Care Systems Contribute to Inequalities’, in D.A. Leon and G. Walt (eds.) Poverty, Inequality and Health: An international perspective, Oxford: Oxford University Press.Google Scholar
  14. Mackintosh, M. and L. Gilson (2002) ‘Non-market Relationships in Health Care’, in J. Heyer (ed.) Group Behavior and Development: Is the market destroying cooperation?, Oxford: Oxford University Press.Google Scholar
  15. Mackintosh, M. and P. Tibandebage (2004) ‘Inequality and redistribution in health care: analytical issues for developmental social policy’, in T. Mkandawire (ed.) Social Policy in a Development context. Basingstoke: Palgrave.Google Scholar
  16. Maine, D. (1991) Safe Motherhood Programs: Options and issues, New York: Center for Population and Family Health.Google Scholar
  17. Miller, S., A. Tejada and P. Murgueytio (2002) Strategic Assessment of Reproductive Health in the Dominican Republic, New York: Population Council.Google Scholar
  18. Mumtaz, Z., S. Salway, M. Waseem and N. Umer (2003) ‘Gender-based Barriers to Primary Health Care Provision in Pakistan: The experience of female providers’, Health Policy and Planning 18(3): 261–269.CrossRefGoogle Scholar
  19. Narayan, D. (2000) Voices of the Poor: Can anyone hear us?, New York: Oxford University Press.CrossRefGoogle Scholar
  20. Sen, A. (2001) Development as Freedom, New York: Oxford University Press.Google Scholar
  21. Standing, H. (2004) Understanding the ‘Demand Side’ in Service Delivery: Definitions, frameworks and tools from the health sector, London: DFID Health systems Resource Centre.Google Scholar
  22. Tendler, J. and S. Freedheim (1994) ‘Trust in a Rent-seeking World: Health and government transformed in northeast Brazil’, World Development 22(12): 1771–1791.CrossRefGoogle Scholar
  23. Travis, P., S. Bennett, A. Haines, T. Pang, Z. Bhutta, A.A. Hyder, N. Pielemeier, A. Mills and T. Evans (2004) ‘Overcoming Health-systems Constraints to Achieve the Millennium Development Goals’, The Lancet 364(9437): 900–906.CrossRefGoogle Scholar
  24. Wagstaff, A. and M. Claeson (2004) The Millennium Development Goals for Health: rising to the challenges, Washington DC: The World Bank.Google Scholar
  25. WHO (2001) World Health Report, Geneva: World Health Organization.Google Scholar
  26. WHO and World Bank (2002) ‘Dying for change: poor people's experience of health and ill-health’. WHO: Geneva.Google Scholar
  27. World Bank (1993) World Development Report 1993: Investing in health, New York: Oxford University Press.Google Scholar
  28. Xu, K., D.B. Evans, K. Kawabata, R. Zeramdini, J. Klavus and C.J. Murray (2003) ‘Household Catastrophic Health Expenditure: A multicountry analysis’, The Lancet 362(9378): 111.CrossRefGoogle Scholar

Copyright information

© Society for International Development 2005

Authors and Affiliations

  • Lynn P Freedman

There are no affiliations available

Personalised recommendations